Michael Anthony Kelly, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13535 Issued in WV

Practice address

1710 Harper Rd
Beckley, WV 25801-3357

Phone

(304) 254-3101

NPI assigned

Jun 21, 2006

Last updated

Nov 29, 2007By 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 7

Medicare fee-for-service enrollment

Enrolled in WV

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

General PracticeAlso: Emergency Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Mountains Medical LLCGroup PAC ID 6709016264, 43 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Welch Community Hospital Hospital, Welch, WV, CCN 510086

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.

• Appalachian Mountains Medical, LLC

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1881023117
  Medicare reassignment Care Compare group NPD
• Cherokee Emergency Services, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1982643938
  NPD (past)
• Ges Hospitalist Services Inc

  • Hospitalist Physician
  • Princeton, WV
  • NPI 1922365089
  NPD (past)
• Health Care Alliance, Inc.

  • Emergency Medicine Physician
  • Beckley, WV
  • NPI 1730128760
  NPD (past)
• Jackie Withrow Wva Facility Operations LLC

  dba Majestic Care of Beckley

  • Nursing Facility/Intermediate Care Facility
  • Beckley, WV
  • NPI 1033090535
  NPD (past)
• Kelly Medical Services Corporation LLC

  dba Kelly Medical Corporation

  • Emergency Medicine Physician
  • Welch, WV
  • NPI 1033154810
  NPD (past)
• Smoky Mountain Emergency Services, Inc.

  • Internal Medicine Physician
  • Daniels, WV
  • NPI 1275551731
  NPD (past)
• State of West Virginia

  • Nursing Facility/Intermediate Care Facility
  • Beckley, WV
  • NPI 1619969706
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  NPD (past)

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

• State of West Virginia Welch Community Hospital

  • General Acute Care Hospital
  • Welch, WV
  • NPI 1134158900
  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1245276955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634706",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 HARPER RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013357",
            "telephone_number": "304-254-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "13535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE VA",
            "identifier": "011906S46",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1008977",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00287045",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00397732",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00397732",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050014000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Davidson Keeney, PHARMD
• Emily Anne Keith, PHARMD
• Laurie Leigh Keller
• Arlene Kelley
• Kelly M Pitsenbarger MD
• Halli Kennedy
• Heather Kennedy
• Jasmine Kenney
• Sudhakar Kesari, MD
• Ramonia Kessinger

• Emergency Medicine Physician in Beckley, WV
• Providers in Beckley, WV by specialty
• Emergency Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.