Individual provider Active NPI

John P. Kelley, MD

  • Allergy & Immunology Physician
  • Sugar Land, TX
National Provider Identifier
1316266133
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
P6844 Issued in TX
Practice address
15400 Southwest Fwy Ste 125
Sugar Land, TX 77478-3879
Phone
(281) 242-0131
Fax
(281) 242-7402
NPI assigned
May 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X P6844 TX Primary

Addresses

Primary practice location

15400 Southwest Fwy Ste 125
Sugar Land, TX 77478-3879

Mailing address

902 Frostwood Dr Ste 302
Houston, TX 77024-2428
Phone (713) 596-8526

Other practice location 1

24200 Via Mazzini Way # 230
Richmond, TX 77406-3439
Phone (281) 531-4901

Other identifiers 1

IdentifierTypeStateIssuer
322751402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20130827000521 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 0345483178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Asthma and Allergy AssociatesGroup PAC ID 7113902842, 9 clinicians

Practice addresses (Care Compare)

15400 Southwest Fwy
Suite 125
Sugar Land, TX 77478-3879
Phone (281) 242-0131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Asthma & Allergy Associates Allergy & Immunology CurrentSince Aug 1, 2016 Accepting new patients

Locations

2900 Smith St
Ste 215
Houston, TX 77006
Phone (713) 759-1056

12606 West Houston Center Blvd
Ste 260
Houston, TX 77082
Phone (713) 596-8500

902 Frostwood Dr
Ste 302
Houston, TX 77024
Phone (713) 596-8526

21820 Kingsland Blvd
Ste 110
Katy, TX 77450
Phone (281) 578-7922

24200 Via Mazzini Way
Richmond, TX 77406
Phone (281) 240-4313

15400 Southwest Fwy
Ste 125
Sugar Land, TX 77478
Phone (281) 242-0131

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1316266133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FROSTWOOD DR STE 302",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242428",
            "telephone_number": "713-596-8526",
            "fax_number": "713-596-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15400 SOUTHWEST FWY STE 125",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783879",
            "telephone_number": "281-242-0131",
            "fax_number": "281-242-7402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24200 Via Mazzini Way # 230",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774063439",
            "country_code": "US",
            "telephone_number": "281-531-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOHN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "P6844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322751402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.