Blaze Kelly, DO
Pain Medicine (Anesthesiology) Physician · Bridgeport, CT
Blaze Kelly, DO is a pain medicine (anesthesiology) physician with a practice address in Bridgeport, Connecticut, and NPI 1003445842, issued on Apr 3, 2020. Check the license (Connecticut 81122, as entered in NPPES) on the Connecticut Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Blaze Kelly
- Credential
- DO
- Primary taxonomy
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License numbers
- 81122 CT
OT019937 PA
Self-reported in NPPES; status is on the state search - Practice location
- 267 Grant St, Bridgeport, CT 06610
- Phone
- (203) 384-3000
- Enumerated
- Apr 3, 2020
- Record last updated
- May 16, 2025
- Fax
- (203) 384-4108
- Medicare enrollment
- Enrolled (PECOS I20250530001653); accepts Medicare assignment
- Medical or professional school
- Lake Erie College Of Osteopathic Medicine, Erie, 2020
- Entity
- Type 1 · individual
8 nearest pain medicine (anesthesiology) physician records → All 48 in Connecticut → Look up another NPI →
Also registered at 267 Grant St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Justin AbbateCertified Registered Nurse Anesthetist1811780497
- Mahmoud AbdelhadiHospitalist Physician1376116574
- Shaun AbidStudent in an Organized Health Care Education/Training Program1194428565
- Kwame Adjei-SefahStudent in an Organized Health Care Education/Training Program1306648589
- Khashayar AfshariStudent in an Organized Health Care Education/Training Program1942002092
- Shadi Afyouni, MDStudent in an Organized Health Care Education/Training Program1023811031
Verify Blaze Kelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersConnecticut Medical Examining Board
Search for license 81122Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $37.80
1 payment: food and beverage; the largest payer was Pacira Pharmaceuticals Incorporated. The 2,789 providers of this specialty with any payment received $3,225.41 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- University OF Penn - Medical GroupPhiladelphia, PA
- Yale UniversityNew Haven, CT
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Blaze Kelly among 48 pain medicine (anesthesiology) physician records in Connecticut
Blaze Kelly, DO is one of 48 pain medicine (anesthesiology) physician records with a practice address in Connecticut. 83% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 96% of them.
- NPI issued2020 · 96% of these records are older, 0% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated2020 · median 2009 among the 36 with a school on file
- Record last updated2025 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207LP2900X and a Connecticut practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pain Medicine (Anesthesiology) Physician providers in Connecticut
There are 48 pain medicine (anesthesiology) physician records in Connecticut.
All 48 in Connecticut → Every provider in Bridgeport → Pain Medicine (Anesthesiology) Physician nationwide →
The 8 pain medicine (anesthesiology) physician records with the nearest ZIP codes
- Mehwish Mirza, MDBridgeport, CT 066101982166708
- Mahd NishtarBridgeport, CT 066061992361299
- Daniel Haddad, M.D.New Haven, CT 065201447608179
- Rakesh Patel, M.D.Hamden, CT 065181053355693
- John Kim, M.D.West Haven, CT 065161245408848
- Lloyd Saberski, M.D.New Haven, CT 065111821000613
- Mindi Steinhardt, M.D.New Haven, CT 065111417069543
- Colin Beals-Reid, MDNew Haven, CT 065101720643414
Common questions
What is Blaze Kelly, DO's NPI number?
Blaze Kelly, DO's National Provider Identifier (NPI) is 1003445842, issued on Apr 3, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Blaze Kelly, DO located?
The NPPES record lists a practice address at 267 Grant St, Bridgeport, CT, 06610. Phone: (203) 384-3000. Providers update this record themselves, so call before visiting.
How can I verify Blaze Kelly, DO's license?
NPPES lists Connecticut license number 81122, as entered by the provider. Search the Connecticut Medical Examining Board at https://www.elicense.ct.gov/Lookup/LicenseLookup.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.