Julie L Kelley, MD
Individual provider Active NPI Family Medicine Physician · Red Bud, IL
NPI 1306980552 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1306980552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 36100230 (IL)
- Practice address
- 325 Spring St
Red Bud, IL 62278-1105 - Phone
- (618) 282-3831
- Fax
- (618) 282-1919
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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.
Practice addresses (Care Compare)
325 Spring St
Red Bud, IL 62278-1105
Phone (618) 939-2273
Hospital & facility affiliations
- Red Bud Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.16 of 100
- Quality
- 70.69
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.02
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.51 of 100
- Quality
- 49.04
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 69.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050916000808 | IL | Practitioner - Emergency Medicine |
0345273579 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36100230 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Family Medicine | Current |
Accepting new patients |
| Deaconess Illinois Clinic, Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Illinois Clinic, Inc | Family Medicine | Current | Accepting new patients |
| Deaconess Illinois Clinic, Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Illinois Red Bud Regional Hospital Inc | Family Medicine | Current |
Accepting new patients |
| Deaconess Illinois Specialty Clinic, Inc. | Current |
Accepting new patients | |
| Deaconess Illinois Red Bud Regional Hospital Inc | Current |
Accepting new patients | |
| Midwest Emergency Department Services Inc | Past | Accepting new patients |
Locations
205 Bailey Ln
Benton, IL 62812
Phone (618) 435-8189
1000 Eleven S
Columbia, IL 62236
Phone (618) 281-7010
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
325 Spring St
Redbud, IL 62278
Phone (618) 282-5165
818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177
509 Hamacher St
Waterloo, IL 62298
Phone (618) 939-3939
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 36100230 | IL | Yes |
Addresses
Primary practice location
325 Spring St
Red Bud, IL 62278-1105
Mailing address
325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-3831
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36100230 | Other | IL | STATE LICENSE NUMBER |
Other providers in Red Bud, IL
- Human Service Center of Southern Metro-East
- Interior Plains Emergency Physicians
- Inwood Emergency Physicians, LLC
- Dusty R Kaesberg
- Crystal Keeling
- Chung Khan
- Jennifer Kimbrell
- Jennifer Knott
- Jodi Kranz
- Tammy Kueker
All providers in Red Bud, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.