Active NPI
Janice Marie Kelley, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1346347978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F6814
- Practice address
- 13323 Dotson Rd Ste 200
Houston, TX 77070-4303 - Phone
- (281) 970-6089
- Fax
- (281) 970-6105
- NPI assigned
- Sep 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F6814 | TX | Primary |
Addresses
Primary practice location
13323 Dotson Rd Ste 200
Houston, TX 77070-4303
Mailing address
PO Box 90639
Houston, TX 77290-0639
Phone (281) 970-6089
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D1015567 | Other | TN | CLIA WAIVER |
| 8J5580 | Other | TX | BCBS PROVIDER NUMBER |
Other names 1
- Dr. Janice Criner Kelley
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041228000820 | TX | Practitioner - Family Practice | 2961460670 | Practice locations: Houston, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1346347978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90639",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772900639",
"telephone_number": "281-970-6089",
"fax_number": "281-970-6105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13323 DOTSON RD STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704303",
"telephone_number": "281-970-6089",
"fax_number": "281-970-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "JANICE",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F6814",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVER",
"identifier": "45D1015567",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "8J5580",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "KELLEY",
"middle_name": "CRINER",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.