DR. KELLY TSENG (M.D.) – Anesthesiology Physician, NPI 1124472568

DR. KELLY TSENG (M.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 282446 (MA). The NPI Number for DR. KELLY TSENG (M.D.) is 1124472568

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY TSENG (M.D.)
NPI
1124472568
Phone
(617) 726-3030
Address
55 FRUIT ST., GRB 444
Enumeration Date
22 April 2016
Last Update Date
30 August 2025

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
5624919350
Graduation Year
2016 (10 years ago)
PAC ID
5890069405
Group Practice PAC ID
6406049592
Professional Enrollment ID
I20210817004002
Address ID
CA908133321LO1050XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

2,323 ANESTHESIOLOGY in MA

Provider Addresses for DR. KELLY TSENG (M.D.)

  • 55 FRUIT ST., GRB 444

    MASSACHUSETTS GENERAL HOSPITAL

    BOSTON, MA 02114

    Phone: (617) 726-3030

    Fax: (617) 726-9697

    Type: Mailing

  • 1050 LINDEN AVE

    LONG BEACH, CA 908133321

    Phone: (562) 491-9000

    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: 2021-08-17

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
I20210817004002IAnesthesiologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

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: 6406049592View full group profile
NameSpecialtyState
-CA
A N E S T H E S I O L O G YCA
-CA
Certified Registered Nurse Anesthetist (Crna)CA
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YTX

Reviews

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Frequently asked questions

Is there an official ID for DR. KELLY TSENG (M.D.) in U.S. healthcare records?
The official identifier for DR. KELLY TSENG (M.D.) is NPI 1124472568.
Is there an active status for DR. KELLY TSENG (M.D.)?
For scheduling context, DR. KELLY TSENG (M.D.) is shown as active in the registry.
How would a patient describe DR. KELLY TSENG (M.D.)'s focus?
For DR. KELLY TSENG (M.D.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KELLY TSENG (M.D.) associated with Boston?
Public fields place DR. KELLY TSENG (M.D.) around Boston, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. KELLY TSENG (M.D.) is noted as April 22, 2016 where the registry provides it.

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