Michelle Kelley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20270 Issued in OK

Practice address

4415 S Harvard Ave Ste 209
Tulsa, OK 74135-2618

Phone

(539) 202-1585

Fax

(539) 202-1588

NPI assigned

Mar 29, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michelle.kelley@214522098548740.direct.elationemr.com
• FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

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.

• Ahs Oklahoma Physician Group LLC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1235182775
  NPD (past)
• Claremore Physicians LLC

  • Clinic/Center
  • Claremore, OK
  • NPI 1982692216
  NPD (past)
• Solidaritus Health Group PC

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1477044790
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1285695403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 209",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352618",
            "telephone_number": "539-202-1585",
            "fax_number": "539-202-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 S HARVARD AVE STE 209",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352618",
            "telephone_number": "539-202-1585",
            "fax_number": "539-202-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14601 E 88th Pl N Ste 308",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740554966",
            "country_code": "US",
            "telephone_number": "918-528-4733",
            "fax_number": "918-528-4739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 S Elm Pl",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127877",
            "country_code": "US",
            "telephone_number": "918-451-5161",
            "fax_number": "918-451-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "20270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100256150B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Kelley, OTR/L
• Joshua Kelley, D.P.T.
• Kelli Dawn Kelley, OT
• Keneshia Dawn Kelley, M.ED
• Kim Kelley
• Morgan Elaine Kelley
• Peggy Louise Kelley, LPC
• Martha Claire Kelly-Legler, APRN-CNP
• Amilia Kelly
• Andrew Louis Kelly, M.D.

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.