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KELLY O'BOYLE
NPI 1619503588
Internal Medicine - Critical Care Medicine in Glen Cove, NY

Active since March 23, 2020PECOS Enrolled
101 SAINT ANDREWS LN, GLEN COVE, NY 11542(516) 674-7300 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 28, 2026, Mar 21, 2023, Mar 23, 2020 (3 updates tracked since 2020).

About Kelly O'boyle NPPES

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

KELLY O'BOYLE (NPI 1619503588) is an individual critical care medicine provider in Glen Cove, New York, licensed in New York (345900) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619503588
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameKELLY O'BOYLE
Location Address101 SAINT ANDREWS LNGlen Cove, NY 11542-2254
Mailing Address101 Saint Andrews LnGlen Cove, NY 11542-2254 · (516) 674-7300
Phone(516) 674-7300
Sole ProprietorNo
Enumeration DateMarch 23, 2020
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1619503588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in NY · 345900
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 345900 (NY)
101 SAINT ANDREWS LN, Glen Cove, NY 11542
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly O'boyle 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRUCE W MARTIN FNP
Nurse Practitioner (Family)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7461
SUBOOR AZIMI
Pharmacist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
DR. JOHN D'ANGELO MD
Emergency Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7325
MAAYAN ESTELLE LIEBERMAN M.D.
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN, NSLIJ-GLEN COVE HOSPITAL
GLEN COVE, NY 11542
Nassau County (516) 674-7631
ALI AY
Hospitalist
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (718) 270-2353
DR. OLUMIDE ADEYEKUN MD
Student in an Organized Health Care Education/Training Program
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
WAI C MAN D.O.
Internal Medicine
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7300
GURBHUSHAN SINGH BASRA M.D.
Radiology (Diagnostic Radiology)
101 SAINT ANDREWS LN
GLEN COVE, NY 11542
Nassau County (516) 674-7540

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 O'boyle's NPI number?

The NPI number for Kelly O'boyle is 1619503588. It was assigned to this individual provider in the NPPES registry on March 23, 2020.

Where is Kelly O'boyle located?

Kelly O'boyle practices at 101 Saint Andrews Ln, Glen Cove, NY 11542. The listed phone number is (516) 674-7300.

What is Kelly O'boyle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Kelly O'boyle enrolled in Medicare?

Yes. Kelly O'boyle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly O'boyle was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.