Active NPI
Helen Anita John-Kelly, MD
- Pediatric Gastroenterology Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- C54496
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Jul 5, 2006
- Last updated
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C54496 | CA | |
| Pediatric Gastroenterology Physician | 2080P0206X | 221819 | NY | |
| Pediatric Gastroenterology Physician | 2080P0206X | MD218932 | OR | |
| Pediatric Gastroenterology Physician | 2080P0206X | C54496 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
506 Lenox Ave
New York, NY 10037-1889
Phone (212) 939-8518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, OR, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD218932 | OR | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Stanford Health Care | Pediatrics | Current | Accepting new patients |
| State of Mississippi-University of Mississippi Medical Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Newyork-Presbyterian-Queens | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients | |
| Santa Barbara Cottage Hospital | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| County of Ventura | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
2500 N State St
Jackson, MS 39216
Phone (601) 815-4775
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
300 N Graham St
Ste 420
Portland, OR 97227
Phone (503) 276-6138
Interoperability endpoints
- hjohnkelly202592@ummc.direct-ci.com
- hjohnkelly3595111@nychhc.direct-ci.com
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Pediatrics
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
dba Stanford Health Care Specialty Pharmacy
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
dba Apothecary at Emanuel Hospital
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Prosthetic/Orthotic Supplier
- Jackson, MS
- NPI 1235019530
-
- Nurse Practitioner
- Jackson, MS
- NPI 1699857433
-
dba Ventura County Medical Center
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
-
- General Acute Care Hospital
- Santa Barbara, CA
- NPI 1477554152
-
- Skilled Nursing Facility
- San Francisco, CA
- NPI 1588732713
-
dba California Pacific Medical Center - Mission Bernal Campus
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1164453718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "506 Lenox Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100371889",
"country_code": "US",
"telephone_number": "212-939-8518",
"fax_number": "805-564-3332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHN-KELLY",
"first_name": "HELEN",
"middle_name": "ANITA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C54496",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NY",
"license": "221819",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "OR",
"license": "MD218932",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "CA",
"license": "C54496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.