KELLY J GARDNER MD
NPI 1437562618
Pediatrics - Pediatric Pulmonology in Boston, MA
About Kelly J Gardner Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY J GARDNER MD (NPI 1437562618) is an individual pediatric pulmonology provider in Boston, Massachusetts, licensed in Massachusetts (269950) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dover, and is a graduate of University Of Vermont College Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kelly J Gardner Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kelly Gardner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 220 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts enrollment
- 6,234 clinicians in this Medicare group
Boston, MA 02114
- Reassigned Medicare billing, Massachusetts and New Hampshire enrollments
- 6,360 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kelly Gardner's NPI number?
The NPI number for Kelly Gardner is 1437562618. It was assigned to this individual provider in the NPPES registry on June 5, 2014.
Where is Kelly Gardner located?
Kelly Gardner practices at Massachusetts General Hospital 55 Fruit St., Boston, MA 02114. The listed phone number is (617) 726-2687.
What is Kelly Gardner's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.
Is Kelly Gardner enrolled in Medicare?
Yes. Kelly Gardner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kelly Gardner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Gardner reassigns Medicare benefits to 3 organizations: Brigham & Womens Hospital, Inc. (Boston, MA), The General Hospital Corporation (Boston, MA) and Massachusetts General Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Gardner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Gardner accept?
Health plans from Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Kelly Gardner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Gardner was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kelly J Gardner, MD · NPI 1437562618
Pediatric Pulmonology physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since June 5, 2014.
## Identity
- **NPI:** 1437562618 (Entity type: Individual)
- **Enumerated:** June 5, 2014
- **Primary specialty:** Pediatrics - Pediatric Pulmonology · taxonomy 2080P0214X
- **State license:** 269950 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., Boston, MA 02114
- **Phone:** (617) 726-2687
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Brigham & Womens Hospital, Inc. (NPI 1790717650, Boston, MA); The General Hospital Corporation (NPI 1023049236, Boston, MA); Massachusetts General Physicians Organization Inc (NPI 1801874573, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2014
## Record status
- **NPPES last updated:** June 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1437562618) · Data from the CMS NPPES public registry.