Individual provider Active NPI

Kelly S Skelly, MD

  • Family Medicine Physician
  • Iowa City, IA
National Provider Identifier
1194711770
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-29668 Issued in IA
Practice address
2751 Northgate Dr
Iowa City, IA 52245-9509
Phone
(319) 384-7222
Fax
(319) 356-3949
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-29668 IA Primary

Addresses

Primary practice location

2751 Northgate Dr
Iowa City, IA 52245-9509

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222

Other practice location 1

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 467-6789

Other practice location 2

3056 River Crossing Ct
Riverside, IA 52327-4733
Phone (319) 467-8355

Other practice location 3

920 E 2nd Ave Ste 201B
Coralville, IA 52241-2225
Phone (319) 467-2000

Other practice location 4

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222

Other identifiers 2

IdentifierTypeStateIssuer
51771OtherIAWELLMARK BCBS
5113043MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20100107000180 IA Practitioner - Family Practice 2860533239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

2751 Northgate Dr
Iowa City, IA 52245-9509
Phone (319) 384-7222

3640 Middlebury Rd
Iowa City, IA 52245-2712
Phone (319) 339-7475

920 E 2ND Ave 201 Aandb
University of Ia Health Care Medical Center
Coralville, IA 52241-2219
Phone (319) 467-2000

Hospital & facility affiliations

  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-29668IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Family Medicine CurrentSince Sep 1, 2002 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

920 E 2nd Ave
Ste 201B
Coralville, IA 52241
Phone (319) 467-2000

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

2751 Northgate Dr
Iowa City, IA 52245
Phone (319) 338-3606

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

3640 Middlebury Rd
Iowa City, IA 52245
Phone (319) 467-6789

3056 River Crossing Ct
Riverside, IA 52327
Phone (319) 467-8355

Interoperability endpoints

  • Direct secure messaging: kskellykuehn11504@uihcdirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1194711770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-384-7222",
            "fax_number": "319-356-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 NORTHGATE DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522459509",
            "telephone_number": "319-384-7222",
            "fax_number": "319-356-3949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 Middlebury Rd",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452712",
            "country_code": "US",
            "telephone_number": "319-467-6789",
            "fax_number": "319-467-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3056 River Crossing Ct",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "IA",
            "postal_code": "523274733",
            "country_code": "US",
            "telephone_number": "319-467-8355",
            "fax_number": "319-467-8351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 E 2nd Ave Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412225",
            "country_code": "US",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-384-7222",
            "fax_number": "319-353-7549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "KELLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-29668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "51771",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5113043",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.