Dr John Thomas Kelly, MD - General Practice in Boston, MA

Dr John Thomas Kelly, MD is a General Practice physician based in Boston, Massachusetts. Dr John Thomas Kelly is licensed to practice in Illinois (license number 036-077958) and his current practice location is 175 Blossom St Unit 1407, Boston, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (215) 527-4684.

NPI number for Dr John Thomas Kelly is 1164758892 and his current mailing address is 175 Blossom St Unit 1407, Boston, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164758892.

Contact Information

Dr John Thomas Kelly, MD
175 Blossom St Unit 1407,
Boston, MA 02114-2629
(215) 527-4684
Not Available



Physician's Profile

Full NameDr John Thomas Kelly
GenderMale
SpecialityGeneral Practice
Location175 Blossom St Unit 1407, Boston, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164758892
  • Provider Enumeration Date: 10/31/2009
  • Last Update Date: 03/13/2023

Medical Identifiers

Medical identifiers for Dr John Thomas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164758892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 036-077958 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Thomas Kelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr John Thomas Kelly, MD
175 Blossom St Unit 1407,
Boston, MA 02114-2629

Ph: (215) 527-4684
Dr John Thomas Kelly, MD
175 Blossom St Unit 1407,
Boston, MA 02114-2629

Ph: (215) 527-4684

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