Julie L Kelley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36100230 Issued in IL

Practice address

325 Spring St
Red Bud, IL 62278-1105

Phone

(618) 282-3831

Fax

(618) 282-1919

NPI assigned

Feb 19, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Emergency Medicine

Education

University of Washington School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Illinois Specialty Clinic, Inc.Group PAC ID 9830562016, 145 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Red Bud Regional Hospital Hospital, Red Bud, IL, CCN 141348

Merit-based Incentive Payment System (MIPS)

Final score

83.16 of 100Reported as group

Quality

70.69

Promoting interoperability

99

Improvement activities

40

Cost

71.02

Merit-based Incentive Payment System (MIPS)

Final score

77.51 of 100Reported as group

Quality

49.04

Promoting interoperability

95

Improvement activities

40

Cost

69.42

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess IL Specialty 3331 DeYoung

  • Surgery Physician
  • Marion, IL
  • NPI 1972210235

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Deaconess Illinois Clinic, Inc

  dba Deaconess IL Clinic Eleven S

  • Family Medicine Physician
  • Columbia, IL
  • NPI 1962128256
  Medicare reassignment NPD
• Deaconess Illinois Red Bud Regional Hospital Inc

  dba Deaconess Illinois Rural Health Clinic Red Bud

  • Rural Health Clinic/Center
  • Red Bud, IL
  • NPI 1619693926

  Family Medicine

  Medicare reassignment NPD
• Deaconess Illinois Clinic, Inc

  dba Deaconess Illinois Clinic John A Logan

  • Family Medicine Physician
  • Carterville, IL
  • NPI 1326836206
  NPD
• Deaconess Illinois Clinic, Inc

  dba Deaconess IL Clinic 3329 DeYoung

  • Family Medicine Physician
  • Marion, IL
  • NPI 1538886114
  NPD
• Deaconess Illinois Red Bud Regional Hospital Inc

  dba Red Bud Regional Hospital

  • Critical Access Hospital
  • Red Bud, IL
  • NPI 1407573132
  NPD
• Deaconess Illinois Specialty Clinic, Inc.

  dba Deaconess Care Group Illinois Union County

  • Hospitalist Physician
  • Anna, IL
  • NPI 1225858251
  NPD
• Midwest Emergency Department Services Inc

  • Emergency Medicine Physician
  • Belleville, IL
  • NPI 1801843974
  NPD (past)

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

• Deaconess Illinois Red Bud Regional Hospital Inc

  dba Red Bud Regional Hospital

  • Critical Access Hospital
  • Red Bud, IL
  • NPI 1407573132
  Care Compare affiliation

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306980552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 SPRING ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781105",
            "telephone_number": "618-282-3831",
            "fax_number": "618-282-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SPRING ST",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622781105",
            "telephone_number": "618-282-3831",
            "fax_number": "618-282-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JULIE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36100230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Human Service Center of Southern Metro-East
• Interior Plains Emergency Physicians
• Inwood Emergency Physicians, LLC
• Dusty R Kaesberg, COTA
• Crystal Keeling, NCSP
• Chung Khan, MD
• Jennifer Kimbrell, FNP-C
• Jennifer Knott, RN
• Jodi Kranz, MSW, LCSW
• Tammy Kueker, RN

• Family Medicine Physician in Red Bud, IL
• Providers in Red Bud, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.