Individual provider Active NPI

James M Kelly, M.D.

  • Family Medicine Physician
  • Ephrata, PA
National Provider Identifier
1104861343
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD428418 Issued in PA
Practice address
101 Larkspur Lane
Ephrata, PA 17522-8402
Phone
(717) 738-0660
Fax
(717) 738-0658
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD428418 PA Primary

Addresses

Primary practice location

101 Larkspur Lane
Ephrata, PA 17522-8402

Mailing address

101 Larkspur Lane
Ephrata, PA 17522-8402
Phone (717) 738-0660

Other practice location 1

1635 W Main St
Suite 700
Ephrata, PA 17522-1119
Phone (717) 738-0660

Other identifiers 11

IdentifierTypeStateIssuer
50061893OtherPACAPITAL BLUE CROSS
7276819OtherPAAETNA NON-HMO
1874597OtherPAHIGHMARK BLUE SHIELD
50065832OtherPACAPITAL BLUE CROSS
50061968OtherPACAPITAL BLUE CROSS
50060203OtherPACAPITAL BLUE CROSS
1016458260001MedicaidPA
107754 S1QFOtherPAGEISINGER HEALTH PLAN
1429961OtherPAAETNA HMO
I54742OtherPAHEALTH ASSURANCE
P008054OtherPAGATEWAY HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20060802000117 PA Practitioner - Family Practice 9335152727 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

101 Larkspur LN
Ephrata, PA 17522-8402
Phone (717) 738-0660

Hospital & facility affiliations

  • Penn Medicine Home Health Lancaster General Health Home health agency, Lancaster, PA, CCN 397013
  • Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100
  • Wellspan Ephrata Community Hospital Hospital, Ephrata, PA, CCN 390225

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD428418PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Health - Columbia Center Family Medicine CurrentSince Mar 12, 2009 Accepting new patients
Lancaster General Health - Columbia Center Family Medicine CurrentSince Mar 12, 2009 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Nov 10, 2010 Accepting new patients
Lancaster General Medical Group CurrentSince Nov 10, 2010 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Medical Group Family Medicine Past Accepting new patients

Locations

306 N 7th St
Columbia, PA 17512
Phone (717) 684-1500

5665 Main St
East Petersburg, PA 17520
Phone (717) 569-7011

1097 Commercial Ave
East Petersburg, PA 17520
Phone (717) 544-1952

426 Cloverleaf Rd
#D
Elizabethtown, PA 17022
Phone (717) 544-3059

426 Cloverleaf Rd
Elizabethtown, PA 17022
Phone (717) 299-1301

101 Larkspur Ln
Ephrata, PA 17522
Phone (717) 738-0660

1261 Division Hwy
#1
Ephrata, PA 17522
Phone (717) 738-0660

1635 W Main St
Ste 700
Ephrata, PA 17522
Phone (717) 738-0660

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

2110 Harrisburg Pike
Ste 100
Lancaster, PA 17601
Phone (717) 544-3059

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

51 Peters Rd
Lititz, PA 17543
Phone (717) 627-2400

700 Lancaster Rd
Manheim, PA 17545
Phone (717) 314-0924

546 N Penryn Rd
Manheim, PA 17545
Phone (717) 544-8075

1001 Cornerstone Dr
#B
Mount Joy, PA 17552
Phone (717) 653-2929

676 E Main St
New Holland, PA 17557
Phone (717) 354-4671

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

505 Historic Dr
Strasburg, PA 17579
Phone (717) 464-1957

6415 Lincoln Hwy
Wrightsville, PA 17368
Phone (717) 252-1200

Interoperability endpoints

  • Direct secure messaging: jkelly1743@direct-lghealth.org

Organizations & group practices 7

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 8

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1104861343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LARKSPUR LANE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228402",
            "telephone_number": "717-738-0660",
            "fax_number": "717-738-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LARKSPUR LANE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175228402",
            "telephone_number": "717-738-0660",
            "fax_number": "717-738-0658"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1635 W Main St",
            "address_2": "Suite 700",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221119",
            "country_code": "US",
            "telephone_number": "717-738-0660",
            "fax_number": "717-738-0658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD428418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50061893",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7276819",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1874597",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50065832",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50061968",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50060203",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016458260001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "107754 S1QF",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1429961",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "I54742",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "P008054",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.