Individual provider Active NPI

Zachary Lamar Kelley, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Corsicana, TX
National Provider Identifier
1225298094
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
M9401 Issued in TX
Practice address
400 Hospital Dr Ste 201
Corsicana, TX 75110-2489
Phone
(903) 641-4870
Fax
(903) 641-4877
NPI assigned
Jun 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X M9401 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X M9401 TX Primary

Addresses

Primary practice location

400 Hospital Dr Ste 201
Corsicana, TX 75110-2489

Mailing address

810 N Zang Blvd
Dallas, TX 75208-4263
Phone (682) 234-1903

Other practice location 1

810 N Zang Blvd
Dallas, TX 75208-4263
Phone (214) 941-4243

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zachary.kelley.1@1902.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090731000329 TX Practitioner - Orthopedic Surgery 8224199526 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Specialty PhysiciansGroup PAC ID 6305901927, 59 clinicians

Practice addresses (Care Compare)

2203 W Lampasas
Suite 106
Ennis, TX 75119-5644
Phone (972) 875-1912

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as apm
Quality
71.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9401TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Oct 15, 2018 Accepting new patients
Texas Specialty Physicians CurrentSince Jul 1, 2025 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Oct 15, 2018 Accepting new patients
Texas Specialty Physicians Orthopaedic Surgery CurrentSince Jul 1, 2025 Accepting new patients
Orthopedics International LTD. PS Orthopaedic Surgery Past Accepting new patients

Locations

400 Hospital Dr
Ste 201
Corsicana, TX 75110
Phone (903) 641-4870

2203 W Lampasas St
Ste 106
Ennis, TX 75119
Phone (972) 875-1912

514 S Bonham St
Ste D
Mexia, TX 76667
Phone (254) 562-5961

514 S Bonham St
Mexia, TX 76667
Phone (254) 562-9321

4002 S Loop 256
Ste B
Palestine, TX 75801
Phone (903) 731-5442

Interoperability endpoints

  • Direct secure messaging: zachary.kelley.1@20210.direct.athenahealth.com
  • Direct secure messaging: dmczkelle@yourcarecommunity.org

Organizations & group practices 5

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 3

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": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1225298094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N ZANG BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084263",
            "telephone_number": "682-234-1903",
            "fax_number": "214-941-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOSPITAL DR STE 201",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102489",
            "telephone_number": "903-641-4870",
            "fax_number": "903-641-4877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "810 N Zang Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084263",
            "country_code": "US",
            "telephone_number": "214-941-4243",
            "fax_number": "214-941-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ZACHARY",
        "middle_name": "LAMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M9401",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "M9401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zachary.kelley.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "400 Hospital Dr Ste 201",
            "city": "Corsicana",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751102489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.