Individual provider

Jennifer Kelly, DO

Endocrinology, Diabetes & Metabolism Physician Medicare enrolled

Jennifer Kelly, DO is an Endocrinology, Diabetes & Metabolism Physician in South Burlington, VT, registered under NPI 1104867779.

Getting there

The practice address on file is 62 TILLEY DR STE 202, South Burlington, VT 05403. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

62 TILLEY DR STE 202, South Burlington, VT 05403 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
032.0129312 VT Endocrinology, Diabetes & Metabolism… primary
216420 NY Endocrinology, Diabetes & Metabolism…

Licences are recorded in 2 states: VT, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Endocrinology
PAC ID
0042298952

Medicare enrolment is recorded as approved under the provider type Practitioner - Endocrinology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: New York and Vermont. The practice address on file is in South Burlington, VT, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

NY New York
Licence
216420
Specialty
Endocrinology, Diabetes & Metabolism…
Verify with the NY board →
VT Vermont practice address
Licence
032.0129312
Specialty
Endocrinology, Diabetes & Metabolism…
Verify with the VT board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Endocrinology, Diabetes & Metabolism covers

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. NUCC Health Care Provider Taxonomy, code 207RE0101X
Allopathic & Osteopathic Physicians Internal Medicine Endocrinology, Diabetes & Metabolism

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RE0101X Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism 032.0129312 VT primary
207RE0101X Endocrinology, Diabetes & Metabolism Physician Endocrinology, Diabetes & Metabolism 216420 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104867779 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJun 8, 2006
Last updatedAug 6, 2025
StatusActive
Sole proprietorNo
CredentialDO
Practice address 62 TILLEY DR STE 202
South Burlington, VT 05403
(802) 847-4576
Fax (802) 847-4967
Other identifiers 02532745 (NY)
This record was updated on Aug 6, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1104867779 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 6 7 7 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 6 5 7 5

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104867779?
NPI 1104867779 is the National Provider Identifier assigned to Jennifer Kelly, DO in South Burlington, VT. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Endocrinology, Diabetes & Metabolism cover?
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
How do I contact Jennifer Kelly, DO?
The phone number on file with NPPES is (802) 847-4576, last updated Aug 6, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jennifer Kelly, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104867779 a valid number?
Yes. 1104867779 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.