NPIMap

Individual provider Active NPI

Stephen Mark Kelley, M.D.

  • Surgery Physician
  • Hobe Sound, FL
National Provider Identifier
1073843629
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
125979 Issued in AK
Practice address
8781 SE Sandcastle Cir
Hobe Sound, FL 33455-4307
Phone
(772) 546-9608
NPI assigned
Jan 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125979 AK Primary
Surgery Physician 208600000X 83473 FL

Addresses

Primary practice location

8781 SE Sandcastle Cir
Hobe Sound, FL 33455-4307

Mailing address

8781 SE Sandcastle Cir
Hobe Sound, FL 33455-4307
Phone (772) 546-9608

Other practice location 1

240 Hospital Pl Ste 305
Soldotna, AK 99669-7559
Phone (907) 714-4130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address skelley3021797@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20251118004136 AK Practitioner - General Surgery 7214428168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of New York Downstate Medical Center, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Peninsula General Hospital IncGroup PAC ID 4587552575, 119 clinicians

Practice addresses (Care Compare)

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 262-7795

Hospital & facility affiliations

  • Central Peninsula General Hospital Hospital, Soldotna, AK, CCN 020024

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125979AKMDSurgery Physician
83473FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Peninsula General Hospital Inc CurrentSince Sep 29, 2025 Accepting new patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Sep 29, 2025 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
Central Peninsula General Hospital Inc Past Accepting new patients

Locations

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

240 Hospital Pl
Ste 305
Soldotna, AK 99669
Phone (907) 714-4130

240 Hospital Pl
Soldotna, AK 99669
Phone (907) 262-7762

Interoperability endpoints

  • Direct secure messaging: skelley3021797@ak.providencedirect.org

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1073843629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 SE SANDCASTLE CIR",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554307",
            "telephone_number": "772-546-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8781 SE SANDCASTLE CIR",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334554307",
            "telephone_number": "772-546-9608"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Hospital Pl Ste 305",
            "address_purpose": "LOCATION",
            "city": "Soldotna",
            "state": "AK",
            "postal_code": "996697559",
            "country_code": "US",
            "telephone_number": "907-714-4130",
            "fax_number": "844-412-3946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "STEPHEN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-04",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AK",
            "license": "125979",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "83473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skelley3021797@ak.providencedirect.org",
            "affiliation": "N",
            "address_1": "240 Hospital Pl Ste 305",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

Verify at the official NPI Registry.