David R Kelly, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

169910 Issued in NY

Practice address

170 Carey Rd
Queensbury, NY 12804-7830

Phone

(518) 793-1000

Fax

(518) 793-1976

NPI assigned

Sep 20, 2005

Sex

Male

Sole proprietor

No

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.

• Adirondack Radiology Associates, P.C.

  • Diagnostic Radiology Physician
  • Queensbury, NY
  • NPI 1366437014

  Diagnostic Radiology, NY

  Medicare reassignment Care Compare group NPD
• Adirondack Radiology Associates, PC

  • Diagnostic Radiology Physician
  • Queensbury, NY
  • NPI 1609138825

  Diagnostic Radiology

  NPD (past)

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

• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764

  Hospital

  Care Compare affiliation

Specialty

Diagnostic Radiology

Education

New York Medical College, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adirondack Radiology Associates PC 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score

84.22 of 100Reported as group

Quality

66.8

Improvement activities

40

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 9, 2022.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1124013727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010985",
            "telephone_number": "518-793-1000",
            "fax_number": "518-793-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047830",
            "telephone_number": "518-793-1000",
            "fax_number": "518-793-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Care Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128668636",
            "country_code": "US",
            "telephone_number": "518-587-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "169910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01022260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Lee Keck, MS, OTR/L
• Christine Keeley
• Lynn M Keil, PA-C
• Christopher Blaine Keller, M.S.P.T.
• Timothy S Kelling, D.D.S, M.D
• Gregory A. Kelly, M.D.
• Kathleen Anne Kelly, LMHC
• Robert C Kendall Jr.
• Melissa M Kenison-Rose, MS, OTR/L
• Cassondra Lynn Kennedy, DPT

• All providers in Queensbury, NY
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.