SUSAN MALKIN KELLY (MD) – Psychiatry Physician, NPI 1316979180
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
Provider Addresses for SUSAN MALKIN KELLY (MD)
PO BOX 110429
AURORA, CO 800420429
Phone:
Type: Mailing
75 MOUNT AUBURN ST
CAMBRIDGE, MA 021384960
Phone: (617) 495-2323
Type: Mailing
345 Blackstone Blvd
Providence, RI 029064800
Phone: (401) 455-6200
Fax: (401) 455-6293
Type: Location
450 N Main St
Sharon, MA 020671172
Phone: (508) 446-1329
Type: Location
Harvard University Health Services
75 Mt. Auburn St.
Cambridge, MA 02138
Phone: (617) 495-9256
Type: Location
13001 E 17th Pl
Aurora, CO 800452570
Phone: (720) 848-0000
Type: Location
University of Colorado Health Sciences Center Administration, 13001, East 17th Place, Aurora, Adams County, Colorado, 80045, United States
AURORA, CO 800452570
Phone: (720) 848-0000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041102000787 | I | Psychiatry | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 80042)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | RI | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 115 | 45 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| - | MA | |
| - | MA | |
| D E R M A T O L O G Y | MA | |
| Nurse Practitioner | MA | |
| - | MA | |
| Internal Medicine | MA | |
| Nurse Practitioner | NH | |
| Emergency Medicine | MA | |
| O P T O M E T R Y | MA |
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