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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PAUL C KELLEHER MD
NPI 1710957261
Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine in Mystic, CT

Active since January 26, 2006PECOS Enrolled
169 HIGH MEADOW LN, MYSTIC, CT 06355(860) 572-0441 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul C Kelleher Md NPPES

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

DR. PAUL C KELLEHER MD (NPI 1710957261) is an individual preventive medicine/occupational environmental medicine provider in Mystic, Connecticut, licensed in Florida (ME58660) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710957261
Entity TypeIndividualMale
Primary Taxonomy2083P0500X
Provider Legal NameDR. PAUL C KELLEHERCredential: MD
Location Address169 HIGH MEADOW LNMystic, CT 06355-1651
Mailing Address169 High Meadow LnMystic, CT 06355-1651
Phone(860) 572-0441
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1710957261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0500X
License✔ Licensed in FL · ME58660
Definition
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
169 HIGH MEADOW LN, Mystic, CT 06355
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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)

Dr. Paul C Kelleher Md 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 06355 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Paul Kelleher's NPI number?

The NPI number for Paul Kelleher is 1710957261. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Paul Kelleher located?

Paul Kelleher practices at 169 High Meadow Ln, Mystic, CT 06355. The listed phone number is (860) 572-0441.

What is Paul Kelleher's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine, with taxonomy code 2083P0500X.

Is Paul Kelleher enrolled in Medicare?

Yes. Paul Kelleher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Kelleher was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.