Individual provider Active NPI

Kelly Brant Pike, D.O.

  • Family Medicine Physician
  • New York City, NY
National Provider Identifier
1235524794
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
287255 Issued in NY
Practice address
1824 Madison Ave
5TH Floor
New York City, NY 10035
Phone
(212) 423-4500
NPI assigned
Apr 1, 2015
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 287255 NY Primary

Addresses

Primary practice location

1824 Madison Ave
5TH Floor
New York City, NY 10035

Mailing address

1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500

Other practice location 1

632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254

Other names 1

  • Kelly Kirkpatrick Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, NC, SC, AL, GA, NM7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20180613002877 NY Practitioner - Family Practice 0042565178 Reassigns benefits to 1 organization
I20220830004462 TX Practitioner - Family Practice 0042565178 Reassigns benefits to 1 organization
I20230823002614 NC Practitioner - Family Practice 0042565178 Reassigns benefits to 1 organization
I20240329000775 SC Practitioner - Family Practice 0042565178
I20240409001857 AL Practitioner - Family Practice 0042565178
I20241219003908 GA Practitioner - Family Practice 0042565178 Reassigns benefits to 1 organization
I20250529002264 NM Practitioner - Family Practice 0042565178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHHS PHS Naihs Shiprock HospitalGroup PAC ID 0749193837, 148 clinicians

Practice addresses (Care Compare)

Highway 491
Shiprock, NM 87420-0160
Phone 50536860016401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as group
Quality
74.27
Improvement activities
40
Cost
78.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Galileo Medical Group Ga, P.C. Family Medicine CurrentSince Aug 11, 2024 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 15, 2022 Accepting new patients
Galileo Medical Group Al, P.C. Family Medicine CurrentSince Apr 4, 2024 Accepting new patients
Galileo Medical Group, NM PC Family Medicine CurrentSince Mar 28, 2025 Accepting new patients
Galileo Medical PC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 15, 2022 Accepting new patients
Galileo Medical Group NC PC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

324 Commons Dr
Birmingham, AL 35209
Phone (334) 442-9805

4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960

315 W 2nd St
Greenville, NC 27834
Phone (252) 507-0588

206 S Coronado Ave
Espanola, NM 87532
Phone (616) 438-0737

632 Broadway
New York, NY 10012
Phone (347) 762-7392

632 Broadway
Ph
New York, NY 10012
Phone (347) 294-3414

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: kelly.kirkpatrick@450368864321540.direct.elationemr.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1235524794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100353832",
            "telephone_number": "212-423-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 MADISON AVE",
            "address_2": "5TH FLOOR",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "10035",
            "telephone_number": "212-423-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIKE",
        "first_name": "KELLY",
        "middle_name": "BRANT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "287255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "KIRKPATRICK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York City, NY

Sources for this page

Verify at the official NPI Registry.