IndividualActive
John Kelly, M.D.
NPI 1164758892 · General Practice Physician · Boston, MA
John Kelly, M.D. is a General Practice Physician provider in Boston, MA (NPI 1164758892).
Provider details
- NPI number
- 1164758892
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036-077958 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
175 Blossom St Unit 1407
Boston, MA 02114-2629
Phone: (215) 527-4684
Street-level locationGet directions
Mailing address
175 Blossom St Unit 1407
Boston, MA 02114-2629
Additional practice locations (1)
- 24 Brighton LnOak Brook, IL 60523-2324Phone: (215) 527-4684
Registry dates
- Enumerated
- 2009-10-31
- Last updated
- 2023-03-13
- Certified
- 2023-03-13
Frequently asked questions
- What is John Kelly's NPI number?
- John Kelly's National Provider Identifier (NPI) is 1164758892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Kelly's specialty?
- John Kelly is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is John Kelly located?
- John Kelly's practice location on file with NPPES is 175 Blossom St Unit 1407, Boston, MA 02114-2629.
- What is John Kelly's phone number?
- The practice phone number listed in the NPPES registry for John Kelly is (215) 527-4684.
- Is John Kelly's NPI active?
- Yes — John Kelly's NPI (1164758892) is active in the NPPES registry as of the last update on 2023-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.