Stephen Michael Kelly, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

F9659 Issued in TX

Practice address

1501 River Pointe Dr Ste 240
Conroe, TX 77304-2861

Phone

(936) 760-1900

Fax

(936) 441-1907

NPI assigned

Feb 27, 2007

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 1

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

Specialty

Gastroenterology

Education

University of Texas Medical Branch at Galveston, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122
• Aspire Hospital Hospital, Conroe, TX, CCN 670093
• HCA Houston Healthcare Conroe Hospital, Conroe, TX, CCN 450222

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

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

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.

• Conroe-Woodlands Gastroenterology, P.a.

  • Gastroenterology Physician
  • Conroe, TX
  • NPI 1962539155
  Medicare reassignment Authorized official
• Conroe TX Endoscopy ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Conroe, TX
  • NPI 1255526265
  NPD (past)

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

• Aspire Hospital, LLC

  • Psychiatric Hospital
  • Conroe, TX
  • NPI 1093955296
  Care Compare affiliation
• Aspire Hospital, LLC

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1114340080
  Care Compare affiliation
• Chca Conroe LP

  • General Acute Care Hospital
  • Conroe, TX
  • NPI 1962455816
  Care Compare affiliation
• Methodist Health Centers

  • General Acute Care Hospital
  • The Woodlands, TX
  • NPI 1184179194
  Care Compare affiliation

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245367663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR STE 240",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042861",
            "telephone_number": "936-760-1900",
            "fax_number": "936-441-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 RIVER POINTE DR STE 240",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042861",
            "telephone_number": "936-760-1900",
            "fax_number": "936-441-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "F9659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144800",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Keith
• Shannon Kelley, LPC
• Mary Jaye Kelly Johnston, LPC-S
• Angelina Autin Kelly, RPH
• Leigh Ann Kelly, BSN, RN
• Jennifer Dawn Kemmerer, P.A.-C
• Genetta Kennedy
• Jennifer Kennedy, LCSW
• Michael David Kennedy, D.C.
• Madylenn Nicole Kenner

• Gastroenterology Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.