NPIMap

Individual provider Active NPI

Matthew James Kelly, M.D.

  • Orthopaedic Surgery Physician
  • Camp Hill, PA
National Provider Identifier
1093793531
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD417641 Issued in PA
Practice address
3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone
(717) 761-5530
Fax
(717) 737-7197
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD417641 PA
Orthopaedic Surgery Physician 207X00000X MD417641 PA Primary

Addresses

Primary practice location

3399 Trindle Rd
Camp Hill, PA 17011-4407

Mailing address

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkelly@oip.medentdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100915000263 PA Practitioner - Orthopedic Surgery 9335264373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Pennsylvania State University College of Medicine, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians
PSHR Physical Therapy, LLCGroup PAC ID 8628396546, 36 clinicians
Orthopedic Surgeons LTDGroup PAC ID 4385535244, 92 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

308 Hockersville Rd
Hershey, PA 17033-2080
Phone (717) 298-1411

3399 Trindle Rd
Camp Hill, PA 17011-4407
Phone (717) 761-5530

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Penn State Health Hampden Medical Center Hospital, Enola, PA, CCN 390336
  • Upmc Memorial Hospital, York, PA, CCN 390101

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 9, 2019 Accepting new patients
Orthopedic Surgeons LTD Orthopaedic Surgery Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 9, 2019 Accepting new patients
Osl Dba Orthopedic Institute of PA Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
Orthopedic Surgeons LTD Orthopaedic Surgery CurrentSince Sep 1, 2010 Accepting new patients
Orthopedic Surgeons LTD Orthopaedic Surgery Past Accepting new patients

Locations

3399 Trindle Rd
Camp Hill, PA 17011
Phone (717) 901-4236

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

112 Sipe Ave
Hummelstown, PA 17036
Phone (717) 483-2311

450 Powers Ave
Lower Paxton, PA 17109
Phone (717) 615-1409

1703 Innovation Dr
York, PA 17408
Phone (717) 741-3449

Interoperability endpoints

  • Direct secure messaging: mkelly@oip.medentdirect.com

Organizations & group practices 8

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1093793531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3399 TRINDLE RD",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170114407",
            "telephone_number": "717-761-5530",
            "fax_number": "717-737-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MATTHEW",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD417641",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD417641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkelly@oip.medentdirect.com",
            "affiliation": "N",
            "address_1": "3399 Trindle Rd",
            "city": "Camp Hill",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170114407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.