Active NPI
Kelly R. Will, M.D., P.a.
- Pain Medicine (Anesthesiology) Physician
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- KELLY R. WILL, M.D., P.A.
- Practice address
- 1351 W President George Bush Hwy
Richardson, TX 75080-1133 - Phone
- (972) 777-6101
- Fax
- (972) 833-2005
- NPI assigned
- Mar 27, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly R Will, M.D.
- Title
- Owner
- Phone
- (972) 777-6101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | TX | Primary | |
| Pain Medicine Physician | 208VP0000X | TX | ||
| Interventional Pain Medicine Physician | 208VP0014X | TX |
Addresses
Primary practice location
1351 W President George Bush Hwy
Richardson, TX 75080-1133
Mailing address
4650 Cole Ave Apt 101
Dallas, TX 75205-4085
Phone (214) 507-0188
Other practice location 1
7515 Greenville Ave Ste 500
Dallas, TX 75231-3849
Phone (972) 777-6101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2460 N Interstate Highway 35 E
Ste 215
Waxahachie, TX 75165
Phone (469) 800-9830
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Dallas, TX
- NPI 1376556456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1326432295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4650 COLE AVE APT 101",
"city": "DALLAS",
"state": "TX",
"postal_code": "752054085",
"telephone_number": "214-507-0188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 W PRESIDENT GEORGE BUSH HWY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750801133",
"telephone_number": "972-777-6101",
"fax_number": "972-833-2005"
}
],
"practiceLocations": [
{
"address_1": "7515 Greenville Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752313849",
"country_code": "US",
"telephone_number": "972-777-6101",
"fax_number": "972-833-2005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KELLY R. WILL, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-27",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "WILL",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-777-6101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": null,
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.