Peter R. Kelly, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G29430 Issued in CA

Practice address

1224 10TH St
Suite 205
Coronado, CA 92118-3416

Phone

(619) 435-0186

Fax

(619) 435-0594

NPI assigned

Jan 19, 2006

Last updated

Jul 13, 2026By 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

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkelly33105@sharphealthcare.direct-ci.com

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.

• Sharpcare Medical Group, Apc

  • Family Medicine Physician
  • Coronado, CA
  • NPI 1730521568

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265412779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 10TH ST",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183420",
            "telephone_number": "619-435-0186",
            "fax_number": "619-435-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 10TH ST",
            "address_2": "SUITE 205",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921183416",
            "telephone_number": "619-435-0186",
            "fax_number": "619-435-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PETER",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G29430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maha Michelle Kabban-Moses, PH.D.
• Charlene Vimala Kakimoto, M.D.
• Michael Edwin Kalafer, M.D.
• Andrea Kane
• Deann Dana Keating, NP
• Patricia Marie Kettlehake, MD
• Khan G Ha MD Inc
• Kinetic Inner Qi Acupuncture and Sports Medicine, Inc.
• Ethan Kizziar, DPT
• Christopher Hampton Kleber, DDS

• Specialist in Coronado, CA
• Providers in Coronado, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.