DR. RAYMOND J KELLEHER MD PHD NPI 1750396503

NPI Information

  • NPI: 1750396503
  • Provider Name: DR. RAYMOND J KELLEHER, MD PHD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 PARKMAN STREET
    NEUROLOGY ASSOCIATES WAC 835
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 726-1728

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NPI Details

DR. Raymond J Kelleher, MD PHD is a neurology psychiatry neurology in Boston, MA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Raymond J Kelleher, MD PHD NPI is 1750396503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

15 PARKMAN STREET
NEUROLOGY ASSOCIATES WAC 835
BOSTON, MA
ZIP 02114-117
Phone: (617) 726-1728

The NPI 1750396503 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 7/30/2006 and was last updated on 8/10/2012.

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
12084N0400XPsychiatry & NeurologyNeurology152943MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G90498MEDICARE UPIN
2J19901OTHERMASSACHUSETTSBCBS MA
3A29392MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
43191915MEDICAIDMASSACHUSETTS
5750080OTHERMASSACHUSETTSTUFTS HEALTH PLAN

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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