Individual provider Active NPI

Ashley V Kelley, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1205929320
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9041 Issued in NV
Practice address
2701 N Tenaya Way Ste 240
Las Vegas, NV 89128-0480
Phone
(702) 666-6878
Fax
(702) 666-6879
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9041 NV Primary

Addresses

Primary practice location

2701 N Tenaya Way Ste 240
Las Vegas, NV 89128-0480

Mailing address

2701 N Tenaya Way Ste 240
Las Vegas, NV 89128-0480
Phone (702) 463-3008

Other identifiers 2

IdentifierTypeStateIssuer
CS09666OtherNVPHARMACY LICENSE
9041OtherNVNV STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20050909000408 NV Practitioner - Internal Medicine 7517999600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2701 N Tenaya Way
Suite 240
Las Vegas, NV 89128-0480
Phone (702) 254-5459

5080 Spectrum Dr
Suite 1200
Addison, TX 75001-6443

5850 S Polaris Ave
Suite 100
Las Vegas, NV 89118-3185

Hospital & facility affiliations

  • Advocare Home Health, LLC Home health agency, Las Vegas, NV, CCN 297204
  • Haloes Touch Hospice Inc Hospice, Henderson, NV, CCN 291680

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley V Kelley MD PC Internal Medicine CurrentSince Apr 13, 2018 Accepting new patients
Malone-Davis Neurology PLLC Current Accepting new patients

Locations

2701 N Tenaya Way
Ste 240
Las Vegas, NV 89128
Phone (702) 254-5459

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFABBD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Haloes Touch Hospice IncHenderson, NV, CCN 291680 Hospice Contracted Managing Employee Oct 1, 2025
Agape Hospice of Nevada IncLas Vegas, NV, CCN 291726 Hospice Contracted Managing Employee (50%) Apr 1, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 2

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205929320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280480",
            "telephone_number": "702-463-3008",
            "fax_number": "580-223-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N TENAYA WAY STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280480",
            "telephone_number": "702-666-6878",
            "fax_number": "702-666-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ASHLEY",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-07",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "9041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "CS09666",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE LICENSE",
            "identifier": "9041",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.