NPIMap

Individual provider Active NPI

James Damian Kelly II, MD

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1013908979
Registry record updated Aug 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G69868 Issued in CA
Practice address
3838 California St RM 715
San Francisco, CA 94118-1509
Phone
(415) 668-8010
Fax
(415) 592-2560
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G69868 CA Primary

Addresses

Primary practice location

3838 California St RM 715
San Francisco, CA 94118-1509

Mailing address

3838 California St RM 715
San Francisco, CA 94118-1509
Phone (415) 668-8010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050622000753 CA Practitioner - Orthopedic Surgery 4385689173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of California - UCSFGroup PAC ID 3375822471, 78 clinicians

Practice addresses (Care Compare)

3838 California St
RM 715
San Francisco, CA 94118-1509
Phone (415) 592-2017

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Novato Community Hospital Hospital, Novato, CA, CCN 050131
  • California Pacific Medical Center - Mission Bernal Hospital, San Francisco, CA, CCN 050055
  • Sonoma Valley Hospital Hospital, Sonoma, CA, CCN 050090
  • Providence Queen of the Valley Medical Center Hospital, Napa, CA, CCN 050009
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008

Merit-based Incentive Payment System (MIPS)

Final score
83.82 of 100Reported as group
Quality
90.46
Promoting interoperability
76
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California - UCSF CurrentSince Jan 21, 2020 Accepting new patients
California Pacific Orthopaedics & Sports Medicine CurrentSince Jan 1, 2017 Accepting new patients
California Pacific Orthopaedics and Sports Medicine a Medical Corporat Orthopaedic Surgery CurrentSince Jan 1, 2017 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Dignity Health Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Franciscan Care Services Inc Past Accepting new patients
Franciscan Care Services Inc Past Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

2351 Clay St
Ste 510
San Francisco, CA 94115
Phone (415) 392-3225

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3838 California St
Rm 715
San Francisco, CA 94118
Phone (415) 592-2014

3838 California St
Rm 516
San Francisco, CA 94118
Phone (415) 668-8010

3838 California St
Rm 108
San Francisco, CA 94118
Phone (415) 221-7273

2001 Winward Way
Ste 101
San Mateo, CA 94404
Phone (650) 288-0602

1099 D St
Ste 105
San Rafael, CA 94901
Phone (415) 302-0456

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jkelly125855@direct-ucsfmedicalcenter.org
  • Direct secure messaging: jkelly50317@hisp.ehr.sutterhealth.org

Organizations & group practices 12

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659830400000",
    "number": "1013908979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 715",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181509",
            "telephone_number": "415-668-8010",
            "fax_number": "415-592-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST RM 715",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181509",
            "telephone_number": "415-668-8010",
            "fax_number": "415-592-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JAMES",
        "middle_name": "DAMIAN",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2022-08-07",
        "certification_date": "2022-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G69868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.