Active NPI
Alec Kelley
- Pediatrics Physician
- Fishers, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01088201A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Jane Pauley Community Health Center Inc | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Pediatrics | Current | 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
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
Pediatrics
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1730488818
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.