Individual provider Active NPI

Kelly L Hayes, MD

  • Clinical Cardiac Electrophysiology Physician
  • Erie, PA
National Provider Identifier
1235133281
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD423957 Issued in PA
Practice address
120 E 2ND St FL 2
Erie, PA 16507-1537
Phone
(814) 456-8980
Fax
(814) 451-0443
NPI assigned
Jun 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X 35-085317 OH
Clinical Cardiac Electrophysiology Physician 207RC0001X 234504-1 NY
Clinical Cardiac Electrophysiology Physician 207RC0001X MD423957 PA Primary

Addresses

Primary practice location

120 E 2ND St FL 2
Erie, PA 16507-1537

Mailing address

120 E 2ND St FL 2
Erie, PA 16507-1537
Phone (814) 456-8980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040622001278 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac ElectrophysiologyPractitioner - Internal Medicine 2466437520 Reassigns benefits to 1 organization
I20041214000730 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Cardiac Electrophysiology 2466437520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Physician Practice PCGroup PAC ID 6709007701, 143 clinicians
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians

Practice addresses (Care Compare)

12 Ctr St
Suite 4
Fredonia, NY 14063-1769
Phone (716) 672-8790

120 E 2ND St
Erie, PA 16507-1537

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

3406 Peach St
Erie, PA 16508-2740
Phone (814) 877-5381

4372 Route 6
Kane, PA 16735-3060
Phone (814) 837-8585

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063
  • Upmc Chautauqua at Wca Hospital, Jamestown, NY, CCN 330239
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Olean General Hospital Hospital, Olean, NY, CCN 330103
  • Warren General Hospital Hospital, Warren, PA, CCN 390146

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234504-1NYMDClinical Cardiac Electrophysiology Physician
35-085317OHMDClinical Cardiac Electrophysiology Physician
MD423957PAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc CurrentSince Jan 1, 2018 Accepting new patients
Great Lakes Physician Practice PC CurrentSince Aug 27, 2018 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
Upmc Hamot Past Accepting new patients

Locations

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 679-2233

12 Center St
Ste 4
Fredonia, NY 14063
Phone (716) 672-8790

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

333 State St
Ste 103
Erie, PA 16507

120 E 2nd St
Fl 2
Erie, PA 16507
Phone (814) 877-9700

201 State St
Erie, PA 16550
Phone (814) 877-2137

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: kelly.l.hayes@upmcdirect.com
  • Direct secure messaging: khayes113848@upmc.direct-ci.com

Organizations & group practices 4

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 9

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1235133281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 2ND ST FL 2",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071537",
            "telephone_number": "814-456-8980",
            "fax_number": "814-451-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "KELLY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-08",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OH",
            "license": "35-085317",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NY",
            "license": "234504-1",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "PA",
            "license": "MD423957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.