KELSEY SACK MD/PHD NPI 1710415344

NPI Information

  • NPI: 1710415344
  • Provider Name: KELSEY SACK, MD/PHD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 330 BROOKLINE AVE
    BOSTON, MA
    ZIP 02215
  • Phone: (617) 667-7000

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NPI Details

Kelsey Sack, MD/PHD is a pulmonary disease internal medicine in Boston, MA with 9 years of experience. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Kelsey Sack, MD/PHD NPI is 1710415344. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

330 BROOKLINE AVE
BOSTON, MA
ZIP 02215-400
Phone: (617) 667-7000

The NPI 1710415344 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2017 and was last updated on 11/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RP1001XInternal MedicinePulmonary Disease272220MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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