William H. Kelley, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q1843 Issued in TX

Practice address

7069 US Highway 67 E
Maud, TX 75567-4583

Phone

(903) 244-4850

Fax

(903) 671-7286

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, TX2 enrollments

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 2

Specialty

Family PracticeAlso: Emergency Medicine

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

De Queen Family Medical Associates PLLCGroup PAC ID 4284075169, 2 clinicians

Midsouth Transitions Medical GroupGroup PAC ID 8628322831, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Encompass Health Hospice Hospice, Texarkana, AR, CCN 041525
• Dierksen Memorial Hospice Hospice, Texarkana, AR, CCN 041572
• Sevier County Medical Center Hospital, De Queen, AR, CCN 041333
• Little River Memorial Hospital Hospital, Ashdown, AR, CCN 041320
• Mena Regional Health System Hospital, Mena, AR, CCN 041334

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• De Queen Family Medical Associates PLLC

  • Family Medicine Physician
  • De Queen, AR
  • NPI 1104678820
  Medicare reassignment Care Compare group NPD Authorized official
• Midsouth Transitions Medical Group

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1790262681
  Medicare reassignment Care Compare group
• Emergency Staffing Solutions Region III

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1689967895

  AR

  Medicare reassignment NPD
• Arkansas Emergency Staffing Solutions, Inc

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1275774630
  Medicare reassignment NPD
• Correct Care, Inc.

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1215987441

  AR

  Medicare reassignment NPD
• Forrest City Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Forrest City, AR
  • NPI 1497080501
  Medicare reassignment NPD
• HMH Physician Services LLC

  • Hospitalist Physician
  • Nashville, AR
  • NPI 1972043073
  Medicare reassignment NPD
• Midsouth Transitions Arkansas PA

  • Internal Medicine Physician
  • Texarkana, AR
  • NPI 1003427873
  Medicare reassignment NPD
• Nes Kentucky Inc

  • Emergency Medicine Physician
  • Nashville, AR
  • NPI 1902348048
  Medicare reassignment NPD
• Texarkana Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1871813345
  Medicare reassignment
• Forrest City Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Hope, AR
  • NPI 1760897904
  NPD
• East Texas Medical Center Healthcare Associates

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1124062484
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dierksen of Texarkana Arkansas LLC

  • Community Based Hospice Care Agency
  • Texarkana, AR
  • NPI 1104088632
  Care Compare affiliation
• Eh Home Health of East Texas, LLC

  • Community Based Hospice Care Agency
  • Texarkana, AR
  • NPI 1649726464
  Care Compare affiliation
• Little River Medical Center, Inc.

  • Critical Access Hospital
  • Ashdown, AR
  • NPI 1326040007
  Care Compare affiliation
• Mena Hospital Commission

  • Critical Access Hospital
  • Mena, AR
  • NPI 1861449639
  Care Compare affiliation
• Sevier County Medical Center

  • Critical Access Hospital
  • De Queen, AR
  • NPI 1386367506
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1376561647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7069 US HIGHWAY 67 E",
            "city": "MAUD",
            "state": "TX",
            "postal_code": "755674583",
            "telephone_number": "903-244-4850",
            "fax_number": "903-671-7286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7069 US HIGHWAY 67 E",
            "city": "MAUD",
            "state": "TX",
            "postal_code": "755674583",
            "telephone_number": "903-244-4850",
            "fax_number": "903-671-7286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "WILLIAM",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-7726",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Jane Byrnes, RN
• Torie Nyoka Ceynowa, LPC
• Alisha Tanae Copeland
• God'S Anointed Ministries, Inc.
• Bailey Denise Hogan, SLP-ASSISTANT
• Karen D Robbins, OT, CAS
• Raquel Castilleja Robinson
• Monica Sanders, COTA

• Family Medicine Physician in Maud, TX
• Providers in Maud, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.