John Thomas Kelly, M.D.
NPI 1164758892ActiveIndividual· General Practice· Boston, MA
General Practice (M.D.) in Boston, Massachusetts, licensed in IL, with an NPI issued in October 2009. Part D covered 15 prescriptions written in 2024, 80% of them generic.
Overview
| NPI | 1164758892 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 31, 2009 |
| Last updated in NPPES | Mar 13, 2023 |
| Certified by provider | Mar 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 036-077958 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 21 30-day fills |
|---|---|
| Total drug cost | $439.28 |
| Generic share | 80% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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