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

Michael R Kelly, MD

Individual provider Pediatrics Physician · NPI 1679780761

Michael R Kelly, MD is an Internal Medicine in Fairhaven, Massachusetts. Graduated from University of Massachusetts Medical School in 2006, 20 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
20
Trained at
University of Massachusetts Medical School
Licensed in
MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

208 Mill Rd
Fairhaven, MA 02719-5208
Phone: (508) 758-3781
Fax: (508) 758-4455
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 243308 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 243308 (MA)

Record details

NPI number1679780761
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2007
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2006 (20 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Fairhaven