Individual provider Active NPI

Brian Kelley, MD

  • Obstetrics & Gynecology Physician
  • Dublin, OH
National Provider Identifier
1003811407
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35073401 Issued in OH
Practice address
7500 Hospital Dr
Dublin, OH 43016-8518
Phone
(614) 544-8000
Fax
(614) 544-8087
NPI assigned
Jun 14, 2005
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35073401 OH Primary

Addresses

Primary practice location

7500 Hospital Dr
Dublin, OH 43016-8518

Mailing address

5400 Frantz Rd Ste 250
Dublin, OH 43016-6102
Phone (614) 544-6355

Other practice location 1

921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone (614) 268-8800

Other identifiers 1

IdentifierTypeStateIssuer
2171626MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bkelley33522@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050406000774 OH Practitioner - Obstetrics/Gynecology 3870540339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100Reported as group
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35073401OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 12, 2020 Accepting new patients
Ohiohealth Corporation Obstetrics & Gynecology CurrentSince Jul 12, 2020 Accepting new patients
Orthopedic Trauma Services LTD Past Accepting new patients
Professionals for Womens Health Obstetrics & Gynecology Past Accepting new patients
Ohiohealth Corporation Past Accepting new patients

Locations

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

921 Jasonway Ave
Ste B
Columbus, OH 43214
Phone (614) 268-3505

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

7500 Hospital Dr
Dublin, OH 43016
Phone (614) 544-8000

484 County Line Rd W
Ste 230
Westerville, OH 43082
Phone (614) 268-8800

500 S Cleveland Ave
Westerville, OH 43081
Phone (380) 898-4000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1003811407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166102",
            "telephone_number": "614-544-6355",
            "fax_number": "614-544-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 HOSPITAL DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168518",
            "telephone_number": "614-544-8000",
            "fax_number": "614-544-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Jasonway Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432142456",
            "country_code": "US",
            "telephone_number": "614-268-8800",
            "fax_number": "614-447-8876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35073401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2171626",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bkelley33522@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "7500 Hospital Dr",
            "city": "Dublin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430168518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.