Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristopher Kelly, MD

Individual provider Diagnostic Radiology Physician · NPI 1316566565

Kristopher Kelly, MD is a Diagnostic Radiology in Boston, Massachusetts. Qualified in 2020, 6 years ago. Practices with Premier Radiology Wisconsin LLC, a 111-clinician group and works from 3 locations. Licensed in Florida, Massachusetts, New York and Ohio.

Years since qualifying
6
Licensed in
FL, MA, NY, OH
In the registry since
2020
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-0288
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 55 Lake Ave N, Worcester, MA 01655-0002 — (508) 334-8015
  • 9500 Euclid Ave, Cleveland, OH 44195-0001 — (216) 444-2200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 1016602 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 178836 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 35.155056 (OH)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 342803 (NY)

Record details

NPI number1316566565
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2020
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Radiology Wisconsin Llc — 111 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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