Active NPI
Sean Patrick Kelly, M.D.
- Anesthesiology Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 80305
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322-0001 - Phone
- (404) 778-5778
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Anesthesiology Physician | 207L00000X | 80305 | GA | Primary |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322-0001
Mailing address
MSC 10 6000
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Medical Branch at Galveston, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80305 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Anesthesiology | Current | Accepting new patients |
| Texans Anesthesia Associates PLLC | Anesthesiology | Current | Accepting new patients |
Locations
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2900
1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066
1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
15300 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 274-6670
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
dba Pain Relief Associates
- Anesthesiology Physician
- Webster, TX
- NPI 1275733982
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Harris Health
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
-
dba Mhhs Hermann Outpatient Imaging Center
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
dba Memorial Hermann Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1134547680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MSC 10 6000",
"address_2": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-272-2610",
"fax_number": "505-272-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1364 CLIFTON RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "404-778-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "SEAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "80305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.