DR. JOHN THOMAS KELLY M.D.
NPI 1164758892
General Practice in Boston, MA

NPI Status: Active since October 31, 2009

Contact Information

175 BLOSSOM ST UNIT 1407
BOSTON, MA
ZIP 02114
Phone: (215) 527-4684

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  • Individual
  • Male
  • General Practice

About JOHN KELLY

This page provides the complete NPI Profile along with additional information for John Kelly, a primary care provider established in Boston, Massachusetts with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1164758892 assigned on October 2009. The practitioner's primary taxonomy code is 208D00000X with license number 036-077958 (IL). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1164758892
Provider Name
DR. JOHN THOMAS KELLY M.D.
Gender
Male
Entity Type
Individual
Location Address
175 BLOSSOM ST UNIT 1407 BOSTON, MA 02114
Location Phone
(215) 527-4684
Mailing Address
175 BLOSSOM ST UNIT 1407 BOSTON, MA 02114
Mailing Phone
(215) 527-4684
Is Sole Proprietor?
Yes
Enumeration Date
10-31-2009
Last Update Date
03-13-2023
Code Navigator

A primary care provider (PCP) like John Kelly sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 24 Brighton Ln
    Oak Brook, IL 60523
    (215) 527-4684

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
036-077958
License State
IL
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164758892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2112414516818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 1 + 4 + 5 + 1 + 6 + 8 + 1 + 8 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1164758892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164758892, enumerated in the NPI registry as an "individual" on October 31, 2009

The provider is located at 175 Blossom St Unit 1407 Boston, Ma 02114 and the phone number is (215) 527-4684

The provider's speciality is General Practice with taxonomy code 208D00000X

This NPI record was last updated on October 31, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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