Michael R Kelly
MD | Pediatrics | Male
Michael R Kelly, MD is a Fairhaven, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael R Kelly is
208 Mill Rd, Fairhaven, Massachusetts - 02719-5208. He can be contacted on phone at
508-758-3781 and fax number 508-758-4455.
Michael R Kelly is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael R Kelly is
1679780761 which was assigned by NPPES on 17 May, 2007 and it was last updated on 22 Apr, 2020.
Michael R Kelly license number is
243308 for Pediatrics (208000000X) in Massachusetts.
Michael R Kelly is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael R Kelly basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Michael R Kelly |
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Credential : | MD |
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Gender : | Male |
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Business Address:
Michael R Kelly address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 208 Mill Rd Fairhaven, MA, 02719-5208 United States |
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Phone Number : | 508-758-3781 |
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Fax Number : | 508-758-4455 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1679780761 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 17 May, 2007 |
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Last Updated On : | 22 Apr, 2020 |
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Medicare Participation:
Michael R Kelly participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 6103019286 |
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Medicare Enrollment ID : | I20101021000393 |
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Primary Specialty : | Internal Medicine |
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Medical School : | University Of Massachusetts Medical School |
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Graduation Year : | 2006 |
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Accepts Medicare? | Yes. Michael R Kelly accepts medicare insurance. |
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Group Practice Association:
Michael R Kelly is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michael R Kelly is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Southcoast Physicians Group Inc | 0749171957 | 705 | 206 Mill Rd Fairhaven, MA - 027195208 Ph: 5089733000 | Yes |
Southcoast Physicians Group Inc | 0749171957 | 705 | 208 Mill Rd Fairhaven, MA - 027195208 Ph: 5087583781 | Yes |
Southcoast Physicians Group Inc | 0749171957 | 705 | 534 Prospect St Fall River, MA - 027205281 Ph: 5089737766 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael R Kelly are as mentioned. Primary taxonomy code for Michael R Kelly, MD is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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207R00000X | Internal Medicine | No | 243308 | MA |
208000000X | Pediatrics | Yes | 243308 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Michael R Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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110086557A | MEDICAID | MA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT (Direct Messaging Address) | mkelly5948@direct.southcoast.org
Southcoast Health Epic Direct Address | No affiliation |
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| 208 MILL RD, FAIRHAVEN, MA, 02719-5208 United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 200 Mill Rd, Ste 180 Fairhaven, MA, 02719-5252 United States |
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Phone Number : | 508-973-2000 |
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Fax Number : | 508-973-2001 |
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Business Location:
Patients can refer following map for directions to
Michael R Kelly practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.