Stephen J Kelly, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

28419 Issued in AL

Practice address

1830 14TH Ave S
Birmingham, AL 35205-4969

Phone

(205) 933-2250

Fax

(205) 933-2221

NPI assigned

Apr 10, 2007

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Ophthalmology

Education

University Alabama Birmingham - School of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stephen J Kelly MD PCGroup PAC ID 7810141280, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
• Bibb Medical Center Hospital, Centreville, AL, CCN 010058

Merit-based Incentive Payment System (MIPS)

Final score

80.04 of 100Reported as group

Quality

67.71

Improvement activities

40

Cost

76.54

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Stephen J Kelly MD PC

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1477899672
  Medicare reassignment Care Compare group NPD Authorized official
• Stephen Joseph Kelly, MD

  • Ophthalmology Physician
  • Birmingham, AL
  • NPI 1962678391
  Authorized official Same address or phone

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

• The Bibb County Healthcare Authority

  dba Bibb Medical Center

  • General Acute Care Hospital
  • Centreville, AL
  • NPI 1255376828
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1154435824
  Care Compare affiliation
• University of Alabama at Birmingham

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1447145818
  Care Compare affiliation

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1205059169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054969",
            "telephone_number": "205-933-2250",
            "fax_number": "205-933-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 14TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054969",
            "telephone_number": "205-933-2250",
            "fax_number": "205-933-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "28419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS TAX ID",
            "identifier": "46-1498286",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Bernard Kelly, MD
• Kameron Kelly
• Kimberly Dionne Kelly, MSN, CRNP
• Matthew Kelly
• Shaunda Elyse Kelly, MD, DMD
• Daniel Kelmenson
• Edwin L Kelsey, M.D.
• Barbara Winter Kelsoe, PT
• Norman Keltner
• Venugopal Naik Keluth Chavan, MD

• Ophthalmology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.