Individual provider Active NPI

Joseph Anthony Kelling, MD

  • Plastic Surgery Physician
  • Dallas, TX
National Provider Identifier
1285161794
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
U2531 Issued in TX
Practice address
3600 Gaston Ave Barnett Tower Ste 410
Dallas, TX 75246-7521
Phone
(214) 827-2531
Fax
(214) 826-6754
NPI assigned
May 15, 2017
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X U2531 TX Primary

Addresses

Primary practice location

3600 Gaston Ave Barnett Tower Ste 410
Dallas, TX 75246-7521

Mailing address

3600 Gaston Ave Barnett Tower Ste 410
Dallas, TX 75246-7521
Phone (214) 827-2531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231004003973 TX Practitioner - Plastic and Reconstructive Surgery 8123473550 Reassigns benefits to 1 organization
I20260217002792 SD Practitioner - Plastic and Reconstructive Surgery 8123473550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Creighton University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3600 Gaston Ave
Dallas, TX 75246-1800
Phone (214) 827-2531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U2531TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jan 1, 2026 Accepting new patients
Kelling Plastic Surgery, P.a. CurrentSince Jul 1, 2023 Accepting new patients
Avera McKennan CurrentSince Jan 1, 2026 Accepting new patients

Locations

3600 Gaston Ave
Ste 410
Dallas, TX 75246
Phone (214) 827-2530

Interoperability endpoints

  • Direct secure messaging: jkelling72157@direct.phhs.org

Organizations & group practices 4

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 1

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1285161794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE BARNETT TOWER STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752467521",
            "telephone_number": "214-827-2531",
            "fax_number": "214-826-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 GASTON AVE BARNETT TOWER STE 410",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752467521",
            "telephone_number": "214-827-2531",
            "fax_number": "214-826-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLING",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-15",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "U2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.