Active NPI
Sarah V Kelly, M.D.
- Internal Medicine Physician
- Richmond, TX
National Provider Identifier
1154309714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2011-0823
- Practice address
- 5503 FM 359 Rd
Suite C
Richmond, TX 77406-7834 - Phone
- (281) 828-0675
- NPI assigned
- Jan 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2011-0823 | NM | Primary |
| Pain Medicine Physician | 208VP0000X | MD2011-0823 | NM |
Addresses
Primary practice location
5503 FM 359 Rd
Suite C
Richmond, TX 77406-7834
Mailing address
5503 FM 359 Rd
Suite C
Richmond, TX 77406-7834
Phone (281) 828-0675
Other names 1
- Sarah Jane Van Epp
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2011-0823 | NM | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Clinic | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Richmond, TX
- NPI 1780164426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1154309714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 FM 359 RD",
"address_2": "SUITE C",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774067834",
"telephone_number": "281-828-0675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 FM 359 RD",
"address_2": "SUITE C",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774067834",
"telephone_number": "281-828-0675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "SARAH",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-04",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "MD2011-0823",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "NM",
"license": "MD2011-0823",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "VAN EPP",
"middle_name": "JANE",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.