NPIMap

Individual provider Active NPI

Steven Thomas Kelley, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Temecula, CA
National Provider Identifier
1194733402
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A78913 Issued in CA
Practice address
40949 Winchester Rd
Temecula, CA 92591-6031
Phone
(951) 296-6676
Fax
(951) 296-6675
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A78913 CA Primary

Addresses

Primary practice location

40949 Winchester Rd
Temecula, CA 92591-6031

Mailing address

40949 Winchester Rd
Temecula, CA 92591-6031
Phone (951) 296-6676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070319000608 CA Practitioner - Orthopedic Surgery 0143323766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Loma Linda University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40949 Winchester Rd
Temecula, CA 92591-6031
Phone (951) 296-6676

Hospital & facility affiliations

  • San Diego Home Health Care Services Inc Home health agency, Carlsbad, CA, CCN 059111
  • Salus Home Health Home health agency, Irvine, CA, CCN 058237
  • Bridge Home Health Home health agency, Murrieta, CA, CCN 559145
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement33
Lower limb (leg) arthroscopy (minimally invasive joint repair)18
Upper limb (arm) arthroscopy (minimally invasive joint repair)13
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78913CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
One Orthopaedics PC Orthopaedic Surgery Current Accepting new patients
John G Ellis MD Inc Sports Medicine Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients

Locations

770 Magnolia Ave
Ste 2J
Corona, CA 92879
Phone (951) 296-6676

4500 Brockton Ave
Ste 204
Riverside, CA 92501
Phone (909) 683-7620

40949 Winchester Rd
Temecula, CA 92591
Phone (951) 296-6676

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: skelley181980@direct.llu.edu
  • Direct secure messaging: steven.kelley.p1@direct.adminossm.nextgenshare.com

Organizations & group practices 8

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 6

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1194733402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40949 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916031",
            "telephone_number": "951-296-6676",
            "fax_number": "951-296-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40949 WINCHESTER RD",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916031",
            "telephone_number": "951-296-6676",
            "fax_number": "951-296-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A78913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.