Brian Thomas Kelly, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

59455 Issued in MN

Practice address

16929 Frances St Ste 101
Omaha, NE 68130

Phone

(402) 758-5125

Fax

(531) 255-0001

NPI assigned

Apr 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN, NE2 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

Specialty

Allergy/Immunology

Education

University of Missouri, Kansas City, School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Allergy and Asthma Clinic PCGroup PAC ID 9931168085, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJBIAD

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.

• Midwest Allergy and Asthma Clinic, P.C.

  • Allergy & Immunology Physician
  • Omaha, NE
  • NPI 1659414597
  Medicare reassignment Care Compare group NPD
• Father Flanagan'S Boys' Home

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1295821825
  Medicare reassignment NPD
• St Paul Allergy & Asthma Clinic P.a.

  • Allergy & Immunology Physician
  • Saint Paul, MN
  • NPI 1952401804
  Medicare reassignment NPD
• Minnesota Allergy and Asthma Consultants, PLLC

  • Allergy & Immunology Physician
  • Burnsville, MN
  • NPI 1710033725
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nebraska Methodist Hospital

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1427147883
  Care Compare affiliation

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1306089230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312136",
            "telephone_number": "531-355-6540",
            "fax_number": "531-355-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16929 FRANCES ST STE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68130",
            "telephone_number": "402-758-5125",
            "fax_number": "531-255-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "565 Snelling Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551161525",
            "country_code": "US",
            "telephone_number": "651-698-0836",
            "fax_number": "651-698-0483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14080 Boys Town Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Boys Town",
            "state": "NE",
            "postal_code": "680107513",
            "country_code": "US",
            "telephone_number": "402-778-6930",
            "fax_number": "531-355-0001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MN",
            "license": "59455",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WI",
            "license": "55878",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "55878",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MN",
            "license": "59455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306089230",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly S Schroeder MD PC
• Markia Kelly-Hill
• Alexa Kelly
• Allena Kelly
• Ann Katherine Kelly, OTD, OTR/L
• Brittany Margaret Kelly, NP
• Charles Michael Kelly, M.D.
• Eibhlin Kelly
• Elizabeth Anne Kelly, MD
• Haoua Kelly

• Allergy & Immunology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Allergy & Immunology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.