KELLY E IRWIN (M.D.) – Psychiatry Physician, NPI 1013176650

KELLY E IRWIN (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 245575 (MA). The NPI Number for KELLY E IRWIN (M.D.) is 1013176650

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KELLY E IRWIN (M.D.)
NPI
1013176650
Phone
(617) 726-2000
Address
MASSACHUSETTS GENERAL HOSPITAL
Enumeration Date
9 June 2008
Last Update Date
4 April 2012

Doctor Profile

Medical School Name
HARVARD MEDICAL SCHOOL
Secondary Phone
7814872900
Graduation Year
2008 (18 years ago)
PAC ID
2163680745
Group Practice PAC ID
6507803806
Professional Enrollment ID
I20120709000609
Address ID
MA024511132WA40XXXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

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Provider Addresses for KELLY E IRWIN (M.D.)

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    55 FRUIT STREET

    BOSTON, MA 02114

    Phone: (617) 726-2000

    Mailing address matches the actual address.

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: 2012-07-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120709000609IPsychiatryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5619$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507803806View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMA
Internal MedicineMA
-MA
-MA
Anesthesiology, Pain ManagementMA
-MA
Clinical PsychologistMA
Internal MedicineMA
Internal MedicineMA
-MA

Reviews

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Frequently asked questions

How is KELLY E IRWIN (M.D.) identified in CMS data?
CMS-hosted NPPES data lists KELLY E IRWIN (M.D.) with NPI 1013176650.
Is KELLY E IRWIN (M.D.) still practicing?
KELLY E IRWIN (M.D.) is currently listed as active in the public NPI registry.
What is KELLY E IRWIN (M.D.)'s primary classification?
Psychiatry Physician is the headline specialty for KELLY E IRWIN (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does KELLY E IRWIN (M.D.) serve?
KELLY E IRWIN (M.D.)'s listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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