Individual provider Active NPI

Matthew V. Kellar, M.D.

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1285612838
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35-075079 Issued in OH
Practice address
2323 W 5TH Ave
Suite 225
Columbus, OH 43204-4899
Phone
(614) 224-6420
Fax
(614) 224-6423
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35-075079 OH Primary

Addresses

Primary practice location

2323 W 5TH Ave
Suite 225
Columbus, OH 43204-4899

Mailing address

2323 W 5TH Ave
Suite 225
Columbus, OH 43204-4899
Phone (614) 224-6420

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkeller153018@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20111109000636 OH Practitioner - Emergency Medicine 5294908158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio Medical University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services Inc.Group PAC ID 5698687838, 46 clinicians

Practice addresses (Care Compare)

6001 E Broad St
Columbus, OH 43213-1502
Phone (614) 224-6420

Hospital & facility affiliations

  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Mount Carmel New Albany Surgical Hospital Hospital, New Albany, OH, CCN 360266

Merit-based Incentive Payment System (MIPS)

Final score
94.44 of 100Reported as group
Quality
88.85
Improvement activities
40
Cost
86.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-075079OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services, Inc. Emergency Medicine CurrentSince Jul 1, 2000 Accepting new patients
Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

7911 Diley Rd
Canal Winchester, OH 43110
Phone (614) 838-7911

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

793 W State St
Columbus, OH 43222
Phone (614) 234-1862

2323 W 5th St
Ste 225
Columbus, OH 43204
Phone (614) 224-6420

3000 Meadow Pond Ct
Ste 200
Grove City, OH 43123
Phone (614) 871-7130

Organizations & group practices 2

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 3

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1285612838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 W 5TH AVE",
            "address_2": "SUITE 225",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044899",
            "telephone_number": "614-224-6420",
            "fax_number": "614-224-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W 5TH AVE",
            "address_2": "SUITE 225",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432044899",
            "telephone_number": "614-224-6420",
            "fax_number": "614-224-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAR",
        "first_name": "MATTHEW",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35-075079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkeller153018@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2323 W 5th Ave",
            "address_2": "SUITE 225",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432044899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.