Individual provider Active NPI

Ryan Allen Kelln, D.O.

  • Pediatrics Physician
  • Nashville, TN
National Provider Identifier
1033478474
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
3084 Issued in TN
Practice address
1215 21St Ave S
Medical Center East, Suite 3200
Nashville, TN 37232-8828
Phone
(615) 936-7846
NPI assigned
May 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3084 TN Primary

Addresses

Primary practice location

1215 21St Ave S
Medical Center East, Suite 3200
Nashville, TN 37232-8828

Mailing address

1215 21St Ave S
Medical Center East, Suite 3200
Nashville, TN 37232-8828
Phone (615) 936-7846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170823003750 CA Practitioner - Orthopedic Surgery 4486949369 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13324CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Aug 1, 2017 Accepting new patients
Chla Teaching Clinics LLC CurrentSince Feb 19, 2026 Accepting new patients
Children'S Hospital Los Angeles Past Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients
Vanderbilt Univ. Medical Center Past Accepting new patients

Locations

468 E Santa Clara St
Arcadia, CA 91006
Phone (626) 795-7177

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1033478474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "address_2": "MEDICAL CENTER EAST, SUITE 3200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372328828",
            "telephone_number": "615-936-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 21ST AVE S",
            "address_2": "MEDICAL CENTER EAST, SUITE 3200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372328828",
            "telephone_number": "615-936-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLN",
        "first_name": "RYAN",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "3084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.