NPIMap

Individual provider Active NPI

Kelly A O'Driscoll, MD

  • Family Medicine Physician
  • Telford, PA
National Provider Identifier
1285831206
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD430247 Issued in PA
Practice address
211 Telford Pike
Telford, PA 18969-2251
Phone
(215) 723-7833
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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 MD430247 PA Primary

Addresses

Primary practice location

211 Telford Pike
Telford, PA 18969-2251

Mailing address

211 Telford Pike
Telford, PA 18969-2251
Phone (215) 723-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070730000422 PA Practitioner - Family Practice 0749381127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

211 Telford Pike
Telford, PA 18969-2251
Phone (215) 723-7833

Hospital & facility affiliations

  • Bayada Home Health Care, Inc. Home health agency, Blue Bell, PA, CCN 398276
  • St Luke'S Hospital - Grand View Campus Hospital, Sellersville, PA, CCN 390057
  • St Luke'S Hospital - Upper Bucks Campus Hospital, Quakertown, PA, CCN 390035
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Souderton Mennonite Homes Nursing home, Souderton, PA, CCN 395634
  • Peter Becker Community Nursing home, Harleysville, PA, CCN 395648

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD430247PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC Family Medicine CurrentSince Aug 2, 2007 Accepting new patients
Delta Medical Group Family Medicine Past Accepting new patients

Locations

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

211 Telford Pike
Telford, PA 18969
Phone (215) 723-7833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA
  • Direct secure messaging: kelly.odriscoll@tvpc.eclinicaldirectplus.com

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 11

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1285831206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 TELFORD PIKE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692251",
            "telephone_number": "215-723-7833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 TELFORD PIKE",
            "city": "TELFORD",
            "state": "PA",
            "postal_code": "189692251",
            "telephone_number": "215-723-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DRISCOLL",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-02",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD430247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Telford, PA

Sources for this page

Verify at the official NPI Registry.