Individual provider Active NPI

Alec Kelley

  • Pediatrics Physician
  • Fishers, IN
National Provider Identifier
1356802276
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01088201A Issued in IN
Practice address
13121 Olio Rd Ste 260
Fishers, IN 46037-7239
Phone
(317) 621-7337
Fax
(317) 621-7330
NPI assigned
Mar 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 01088201A IN Primary

Addresses

Primary practice location

13121 Olio Rd Ste 260
Fishers, IN 46037-7239

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

333 E County Line Rd Ste B
Greenwood, IN 46143-1080
Phone (317) 743-5990

Other practice location 2

Dayton Children's Hospital
One Children's Plaza
Dayton, OH 45404
Phone (937) 641-3433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20220727003698 IN Practitioner - Pediatric Medicine 7719369438 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physicians of Indiana Inc CurrentSince Aug 22, 2022 Accepting new patients
Jane Pauley Community Health Center Inc CurrentSince Mar 11, 2025 Accepting new patients
Community Physicians of Indiana Inc Pediatrics CurrentSince Aug 22, 2022 Accepting new patients
Major Hospital Past Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

13121 Olio Rd
Ste 260
Fishers, IN 46037
Phone (317) 621-1300

333 E County Line Rd
Greenwood, IN 46143
Phone (317) 497-6800

333 E County Line Rd
Ste B
Greenwood, IN 46143
Phone (317) 497-6333

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

1503 N Mitthoefer Rd
Indianapolis, IN 46229

8931 E 30th St
Indianapolis, IN 46219
Phone (317) 355-9320

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

Interoperability endpoints

  • Direct secure messaging: akelley764235@direct.ochin.org

Organizations & group practices 4

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1356802276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 OLIO RD STE 260",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377239",
            "telephone_number": "317-621-7337",
            "fax_number": "317-621-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E County Line Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "461431080",
            "country_code": "US",
            "telephone_number": "317-743-5990",
            "fax_number": "317-214-0271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Dayton Children's Hospital",
            "address_2": "One Children's Plaza",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "45404",
            "country_code": "US",
            "telephone_number": "937-641-3433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "ALEC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-26",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01088201A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

Verify at the official NPI Registry.