Kristopher J Kelly, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35087489 Issued in OH

Practice address

5655 Monclova Rd
Maumee, OH 43537-1835

Phone

(419) 893-4883

Fax

(419) 893-2312

NPI assigned

Jun 14, 2006

Sex

Male

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 OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1316980329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-4883",
            "fax_number": "419-893-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 MONCLOVA RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371835",
            "telephone_number": "419-893-4883",
            "fax_number": "419-893-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KRISTOPHER",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35087489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Keeton, CNP
• Katie Keil, FNP-C
• Kyle Anthony Keller, MD
• Candace Kelley, RBT
• James Bruce Kelly, M.ED.
• Scott S Kelly, DDS
• Cynthia F Kenny, LPCC
• Nidaa Khamousia, M.D.
• Nicholas Kieswether
• Gabrielle Kilbride, CDCA

• Ophthalmology Physician in Maumee, OH
• Providers in Maumee, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.