Individual provider Active NPI

Suzanne Kuttler Kelly, D.O.

  • Family Medicine Physician
  • Doylestown, PA
National Provider Identifier
1275705485
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS014292 Issued in PA
Practice address
800 W State St Ste 201
Doylestown, PA 18901-5842
Phone
(215) 348-4478
Fax
(215) 348-2452
NPI assigned
Mar 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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 OS014292 PA Primary

Addresses

Primary practice location

800 W State St Ste 201
Doylestown, PA 18901-5842

Mailing address

800 W State St Ste 201
Doylestown, PA 18901-5842
Phone (215) 348-4478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20080711000069 PA Practitioner - Family Practice 7315019114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doylestown Medical Associates, P.C.Group PAC ID 0547361941, 3 clinicians
Rehabclinics SPT IncGroup PAC ID 7113834102, shared by 20 NPIs, 101 clinicians

Practice addresses (Care Compare)

301 S Main St
Suite 2 South
Doylestown, PA 18901-4870

4275 County Line Rd
Suite 26
Chalfont, PA 18914-2212
Phone (267) 952-8120

800 W State St
Suite 201
Doylestown, PA 18901-5842
Phone (215) 348-4478

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Jamison, PA, CCN 397791
  • Doylestown Hospital Visiting Nurse/HCD Home health agency, Doylestown, PA, CCN 397083
  • Mercy Home Health Home health agency, Newtown, PA, CCN 397015
  • Doylestown Hospital Hospital, Doylestown, PA, CCN 390203
  • St Mary Medical Center Hospital, Langhorne, PA, CCN 390258
  • Pine Run Health Center Nursing home, Doylestown, PA, CCN 395366

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doylestown Medical Associates, P.C. CurrentSince Sep 3, 2019 Accepting new patients
Via Affiliates PastSince Oct 6, 2019 Accepting new patients
Via Affiliates PastSince Jul 25, 2021 Accepting new patients

Locations

301 S Main St
Ste 2
Doylestown, PA 18901
Phone (215) 348-4800

800 W State St
Ste 201
Doylestown, PA 18901
Phone (215) 348-4478

Interoperability endpoints

  • Direct secure messaging: suzanne.kelly@dhcp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGJJDD/Endpoint/JGJJDD

Organizations & group practices 3

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1275705485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W STATE ST STE 201",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015842",
            "telephone_number": "215-348-4478",
            "fax_number": "215-348-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W STATE ST STE 201",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189015842",
            "telephone_number": "215-348-4478",
            "fax_number": "215-348-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SUZANNE",
        "middle_name": "KUTTLER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS014292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.