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DR. SUZANNE KELLAM M.D.
NPI 1508307877
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since March 20, 2017PECOS Enrolled
1 BOSTON MEDICAL CTR PL, MENINO BUILDING, DOWLING 3 SOUTH RESIDENT MAILBOXES, BOSTON, MA 02118(617) 414-5946 Get Directions Write a Review

NPPES record last updated: December 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2019, Mar 20, 2017 (2 updates tracked since 2017).

About Dr. Suzanne Kellam M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SUZANNE KELLAM M.D. (NPI 1508307877) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508307877
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. SUZANNE KELLAMCredential: M.D.
Location Address1 BOSTON MEDICAL CTR PL, MENINO BUILDING, DOWLING 3 SOUTH RESIDENT MAILBOXESBoston, MA 02118-2908
Mailing Address1 Boston Medical Ctr Pl, Menino Building, Dowling 3 South Resident MailboxesBoston, MA 02118-2908
Phone(617) 414-5946
Sole ProprietorNo
Enumeration DateMarch 20, 2017
Last NPPES UpdateDecember 5, 20192 updates tracked since enumeration
✔ NPI 1508307877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 BOSTON MEDICAL CTR PL, Boston, MA 02118
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Suzanne Kellam M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SOPHIA N. TOWNSEND CRNA
Nurse Anesthetist, Certified Registered
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-6950
MADELYN ROSE CHAMIS
Physician Assistant
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. NICKKI P DAWES
Psychologist (Clinical)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
COMFORT ATWEREBOANAH
Nurse Practitioner (Psychiatric/Mental Health)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 414-5245
SOFIA PHAM
Student in an Organized Health Care Education/Training Program
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
ANEESH T NARANG MD
Emergency Medicine
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481
TEMITAYO OKUBANJO PHARM.D, BCPS
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 BOSTON MEDICAL CTR PL
BOSTON, MA 02118
Suffolk County (617) 638-8000
DEBORAH A DAVOLIO NP
Nurse Practitioner
1 BOSTON MEDICAL CTR PL, DOWLING 1 SOUTH
BOSTON, MA 02118
Suffolk County (617) 414-5481

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 Suzanne Kellam's NPI number?

The NPI number for Suzanne Kellam is 1508307877. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Suzanne Kellam located?

Suzanne Kellam practices at 1 Boston Medical Ctr Pl Menino Building, Dowling 3 South Resident Mailboxes, Boston, MA 02118. The listed phone number is (617) 414-5946.

What is Suzanne Kellam's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Suzanne Kellam enrolled in Medicare?

Yes. Suzanne Kellam is registered in the Medicare PECOS enrollment system.

What insurance does Suzanne Kellam accept?

Health plans from Anthem Blue Cross and Blue Shield list Suzanne Kellam 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 Suzanne Kellam was last updated on December 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.