James E. Kelly III, M.D.

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

E0847 Issued in AR

Practice address

8101 McClure Dr Ste 301
Fort Smith, AR 72916-6056

Phone

(479) 709-8300

Fax

(479) 709-8315

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Plastic and Reconstructive SurgeryAlso: Hand Surgery

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Arkansas Plastic and Reconstructive Surgery CenterGroup PAC ID 7416290622, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062
• Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337
• Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055

Merit-based Incentive Payment System (MIPS)

Final score

74.81 of 100Reported as individual

Quality

49.61

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Western Arkansas Plastic & Reconstructive Surgery Center

  • Plastic Surgery Physician
  • Fort Smith, AR
  • NPI 1194730077
  Medicare reassignment Care Compare group NPD Authorized official
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  NPD (past)
• Western Arkansas Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Fort Smith, AR
  • NPI 1598074551
  NPD (past)

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

• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  Care Compare affiliation
• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation
• Leflore County Hospital Authority

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447
  Care Compare affiliation
• Leflore County Hospital Authority

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  Care Compare affiliation

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1144289331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10810",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170810",
            "telephone_number": "479-709-8300",
            "fax_number": "709-709-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 MCCLURE DR STE 301",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166056",
            "telephone_number": "479-709-8300",
            "fax_number": "479-709-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JAMES",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "AR",
            "license": "E0847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130121001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100000480A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgianna Partain Keller, RPTA
• Candice La'Nae Kelley, LAC
• Jessica Kelley
• Kerri Kelley, PHARM D
• Linda Rochelle Kelley, PTA
• Jennifer Denise Kelly, RPH
• Peggy Ann Kelly, APN
• Rosine Kelly, CRNP
• Thomas C Kelly, MD
• Kendall Roberts DDS PC

• Surgery of the Hand (Plastic Surgery) Physician in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.