KATHRYN M KIELTY (PA) – Medical Physician Assistant, NPI 1417914359
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
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Provider Addresses for KATHRYN M KIELTY (PA)
Ivy Realty Group, 40, Holland Street, Davis Square, Somerville, Middlesex County, Massachusetts, 02144, United States
SOMERVILLE, MA 021442705
Phone: (617) 629-6000
Fax: (617) 629-6070
Type: Location
40 Holland St
Somerville, MA 021442705
Phone: (617) 629-6000
Fax: (617) 629-6070
Type: Location
55 FOGG RD
WEYMOUTH, MA 021902432
Phone: (781) 624-8000
Type: Location
Harvard Vanguard, 147, Milk Street, Dock Square, Financial District, Boston, Suffolk County, Massachusetts, 02110, United States
PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON, MA 021094806
Phone: (617) 559-8053
Fax: (617) 421-3487
Type: Mailing
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: 2006-05-31
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 |
|---|---|---|---|---|
| I20060531000129 | I | Physician Assistant | 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 02144)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pain Management, Anesthesiology | MA | |
| - | MA | |
| Physician Assistant | MA | |
| General Surgery | NJ | |
| U R O L O G Y | MA | |
| Internal Medicine | ME | |
| Physician Assistant | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Physician Assistant | MA | |
| Emergency Medicine | MA |
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