Individual provider Active NPI

Gregory Ivan Kelts, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Antonio, TX
National Provider Identifier
1144529066
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
U1311 Issued in TX
Practice address
3320 Oakwell CT
San Antonio, TX 78218-3128
Phone
(210) 829-5180
Fax
(210) 829-5030
NPI assigned
Mar 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X U1311 TX
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X U1311 TX Primary

Addresses

Primary practice location

3320 Oakwell CT
San Antonio, TX 78218-3128

Mailing address

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (443) 481-8687

Other practice location 1

5000 Schertz Pkwy Ste 400
Schertz, TX 78154-1457
Phone (210) 829-5180

Other practice location 2

3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (443) 481-8687

Other practice location 3

1763 Medical Way Ste B
New Braunfels, TX 78132-5415
Phone (210) 829-5180

Other practice location 4

3349 S Highway 181 Ste 13A
Kenedy, TX 78119-5247
Phone (210) 829-5180

Other practice location 5

3326 Oakwell Court
San Antonio, TX 78218
Phone (210) 829-5180

Other practice location 6

21727 I-10 W
2nd Floor, Suite 202
San Antonio, TX 78257
Phone (210) 829-5180

Other practice location 7

8019 S New Braunfels Ste 120
San Antonio, TX 78235-1069
Phone (210) 829-5180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, PA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160622002781 MN Practitioner - Otolaryngology 7911298948 Reassigns benefits to 1 organization
I20201014000108 PA Practitioner - Otolaryngology 7911298948 Reassigns benefits to 2 organizations
I20230320002632 TX Practitioner - OtolaryngologyPractitioner - Other (Physician) 7911298948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Uniformed Services Uhs Fe Hebert School of Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Dermatology and Laser Specialists PLLCGroup PAC ID 2264671544, 18 clinicians

Practice addresses (Care Compare)

21727 W Interstate 10
Suite 202
San Antonio, TX 78257-2107
Phone (210) 829-5180

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 29, 2021 Accepting new patients
Group Health, Inc. CurrentSince Jul 1, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
Group Health, Inc. CurrentSince Jul 1, 2016 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 29, 2021 Accepting new patients
Guthrie Medical Group, P.C. General Practice CurrentSince Jul 9, 2020 Accepting new patients
Guthrie Medical Group, P.C. Otolaryngology CurrentSince Jul 9, 2020 Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Texas Dermatology and Laser Specialists PLLC CurrentSince Feb 1, 2023 Accepting new patients
Daniel J Ladd DO PA PastSince Feb 1, 2023 Accepting new patients

Locations

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

8170 33rd Ave S
Stop 21110Q
Minneapolis, MN 55425

401 Phalen Blvd
Saint Paul, MN 55130
Phone (651) 254-7870

401 Phalen Blvd
#401
Saint Paul, MN 55130

321 Main St
Ste 4C
Johnstown, PA 15901
Phone (814) 536-7725

1450 Scalp Ave
Fl 3
Johnstown, PA 15904

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1450 Scalp Ave
Ste 3B
Johnstown, PA 15904
Phone (814) 266-8928

116 S Elmer Ave
Sayre, PA 18840
Phone (570) 887-2849

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

3349 S Highway 181
Ste 13A
Kenedy, TX 78119

1763 Medical Way
Ste B
New Braunfels, TX 78132

21727 W Interstate 10
Ste 202
San Antonio, TX 78257
Phone (210) 245-4078

3326 Oakwell Ct
San Antonio, TX 78218

3320 Oakwell Ct
San Antonio, TX 78218

8019 S New Braunfels
Ste 120
San Antonio, TX 78235
Phone (210) 249-4838

5000 Schertz Pkwy
Ste 400
Schertz, TX 78154
Phone (210) 402-1222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: gkelts153542@direct-guthrie.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1144529066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "443-481-8687",
            "fax_number": "443-481-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 OAKWELL CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183128",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Schertz Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Schertz",
            "state": "TX",
            "postal_code": "781541457",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3551 Roger Brooke Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782344504",
            "country_code": "US",
            "telephone_number": "443-481-8687",
            "fax_number": "443-481-8687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1763 Medical Way Ste B",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781325415",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3349 S Highway 181 Ste 13A",
            "address_purpose": "LOCATION",
            "city": "Kenedy",
            "state": "TX",
            "postal_code": "781195247",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3326 Oakwell Court",
            "address_purpose": "LOCATION",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78218",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21727 I-10 W",
            "address_2": "2nd Floor, Suite 202",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78257",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "fax_number": "210-829-5030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8019 S New Braunfels Ste 120",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782351069",
            "country_code": "US",
            "telephone_number": "210-829-5180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELTS",
        "first_name": "GREGORY",
        "middle_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-17",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "U1311",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "U1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.