Patrick F Kelly, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4778 Issued in OK

Practice address

1650 Main St
Woodward, OK 73801-3046

Phone

(580) 571-8048

Fax

(580) 571-8085

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

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

Orthopedic Surgery

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andalusia Physician Practices LLCGroup PAC ID 7315043007, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• LHC Homecare of South Alabama Home health agency, Opp, AL, CCN 017134
• Centerwell Home Health Home health agency, Andalusia, AL, CCN 017121
• Andalusia Health Hospital, Andalusia, AL, CCN 010036
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: patrick.kelly.1@19364.direct.athenahealth.com
• Direct secure messaging: patrick_kelly_-_do@yourcarecommunity.org

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.

• Andalusia Physician Practices LLC

  • Neurology Physician
  • Andalusia, AL
  • NPI 1437202009
  Medicare reassignment Care Compare group NPD
• Andalusia Physician Practices LLC

  • Rural Health Clinic/Center
  • Andalusia, AL
  • NPI 1417663576
  NPD
• Andalusia Physician Practices LLC

  • Family Medicine Physician
  • Andalusia, AL
  • NPI 1972870335

  Orthopaedic Surgery

  NPD

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

• Centerwell Health Services (Certified), Inc.

  • Home Health Agency
  • Andalusia, AL
  • NPI 1730118621
  Care Compare affiliation Name & address match
• Community Hospital of Andalusia LLC

  • General Acute Care Hospital
  • Andalusia, AL
  • NPI 1821078494
  Care Compare affiliation
• Mizell Memorial Hospital Homecare, LLC

  • Home Health Agency
  • Opp, AL
  • NPI 1033293352
  Care Compare affiliation
• QHG of Enterprise Inc

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1184679417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013046",
            "telephone_number": "580-571-8048",
            "fax_number": "580-571-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013046",
            "telephone_number": "580-571-8048",
            "fax_number": "580-571-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICK",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "K5127",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "4778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE NUMBER",
            "identifier": "K5127",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171975901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248040",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Johnston
• David C Jones, OD
• Jessica Rayleen Jones, APRN-CNP
• Mary Nicole Jones
• Kim Jean Keepers
• Kenan Kirkendall, D.O., PC
• Janet Ketron, MA, CCC-SLP
• Alison Kincannon, LPC-C
• Audrey Deanne Kincannon
• Clayton Kincannon, PTA

• Orthopaedic Surgery Physician in Woodward, OK
• Providers in Woodward, OK by specialty
• Orthopaedic Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.