Individual provider Active NPI

Adam G Kelly, MD

  • Neurology Physician
  • Gainesville, FL
National Provider Identifier
1104839190
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME135304 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-0236
Phone
(352) 273-5550
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 237964 NY
Vascular Neurology Physician 2084V0102X 237964 NY
Neurology Physician 2084N0400X ME135304 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-0236

Mailing address

PO Box 100236
Gainesville, FL 32610-0236
Phone (352) 273-5550

Other practice location 1

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2530

Other identifiers 3

IdentifierTypeStateIssuer
024217500MedicaidFL
2084N0400XOtherTAXONOMY
RB4835OtherNYMEDICARE PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address akelly4355@direct.urmc.rochester.edu Direct
Direct Messaging Address akelly4355@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20071004000051 NY Practitioner - Neurology 6800981960 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Rochester School of Medicine and Dentistry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
U of R Neurology DepartmentGroup PAC ID 1456248699, 107 clinicians
University of RochesterGroup PAC ID 5799699088, 960 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

1000 S Ave
Rochester, NY 14620-2733
Phone (585) 275-1200

191 N Main St
Wellsville, NY 14895-1150
Phone (585) 596-0145

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300

601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-1200

601 Elmwood Ave
Rochester, NY 14642-0002
Phone (585) 275-2100

601 Elmwood Ave Box
Rochester, NY 14642-0001

7309 Seneca Rd N
Suite 114
Hornell, NY 14843-9691
Phone (585) 596-0145

Hospital & facility affiliations

  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Highland Hospital Hospital, Rochester, NY, CCN 330164
  • Jones Memorial Hospital Hospital, Wellsville, NY, CCN 330096

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
75.69
Promoting interoperability
100
Improvement activities
40
Cost
70.47

Merit-based Incentive Payment System (MIPS)

Final score
92.62 of 100Reported as apm
Quality
77.97
Promoting interoperability
98
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237964NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Feb 6, 2021 Accepting new patients
U of R Neurology Department Neurology CurrentSince Feb 27, 2007 Accepting new patients
University of Rochester Current Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jun 25, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Feb 6, 2021 Accepting new patients
University of Rochester Neurosurgery Group CurrentSince Aug 1, 2022 Accepting new patients
Auburn Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jan 1, 2025 Accepting new patients
Geneva General Hospital, Inc CurrentSince Jan 1, 2021 Accepting new patients
Geneva General Hospital CurrentSince Jan 1, 2021 Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 20, 2019 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Jun 25, 2024 Accepting new patients
University of Rochester CurrentSince Jul 1, 2015 Accepting new patients
Auburn Community Hospital Neurology CurrentSince Jan 1, 2025 Accepting new patients
Auburn Memorial Medical Services, PC Neurology CurrentSince Jan 1, 2025 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jan 1, 2021 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Nov 20, 2019 Accepting new patients
Geneva General Hospital, Inc Current Accepting new patients
University of Rochester CurrentSince Jul 1, 2015 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
University of Rochester Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

5877 Old State Rd
#19
Belmont, NY 14813
Phone (585) 268-5477

73 Buffalo St
Ste 100
Canandaigua, NY 14424

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

196 North St
Geneva, NY 14456
Phone (315) 787-4156

7309 Seneca Rd N
Ste 116
Hornell, NY 14843
Phone (607) 454-4400

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

601 Elmwood Ave
#278984
Rochester, NY 14642
Phone (585) 275-1200

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

130 North St
Walton, NY 13856
Phone (607) 865-6541

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: akelly333816@bassett.direct-ci.net
  • Direct secure messaging: akelly4355@direct.urmc.rochester.edu

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 4

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1104839190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100236",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100236",
            "telephone_number": "352-273-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100236",
            "telephone_number": "352-273-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-275-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ADAM",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "237964",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NY",
            "license": "237964",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME135304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024217500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2084N0400X",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "RB4835",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akelly4355@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akelly4355@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.