Individual provider Active NPI

Brendan Sean Kelly, DO

  • Internal Medicine Physician
  • Kansas City, KS
National Provider Identifier
1376705798
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9406982 Issued in KS
Practice address
Ku Medical Center Div of General &
3901 Rainbow Blvd, Ms 1020
Kansas City, KS 66160-0001
Phone
(913) 588-6005
Fax
(913) 588-3877
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9406982 KS Primary

Addresses

Primary practice location

Ku Medical Center Div of General &
3901 Rainbow Blvd, Ms 1020
Kansas City, KS 66160-0001

Mailing address

Kansas University Physician Inc
3901 Rainbow Blvd, 4070 Delp, Ms 4017
Kansas City, KS 66160-0001
Phone (913) 588-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000370 KS Practitioner - HospitalistPractitioner - Internal Medicine 2769660034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Kansas City Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas University Physicians IncGroup PAC ID 8921911587, 1,809 clinicians

Practice addresses (Care Compare)

20375 W 151St St
Olathe, KS 66160-0001
Phone (913) 588-1227

3901 Rainbow Blvd
Kansas City, KS 66160-0001
Phone (913) 588-7775

3901 Rainbow Blvd
Kansas City, KS 66160-8500
Phone (913) 588-7013

4000 Cambridge St
Kansas City, KS 66160-0001
Phone (913) 588-1227

4000 Cambridge St
Kansas City, KS 66160-8500

4000 Cambridge St
Suite G600
Kansas City, KS 66160-8501
Phone (913) 588-1227

901 N 5H St
Psych
Kansas City, KS 66101-2907
Phone (913) 588-1227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.91 of 100Reported as apm
Quality
77.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9406982KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Internal Medicine Current Accepting new patients
Kansas University Physicians Inc Internal Medicine CurrentSince Jul 1, 2011 Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 1, 2011 Accepting new patients
University of Kansas Hospital Authority Past Accepting new patients

Locations

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

3901 Rainbow Blvd
#4070
Kansas City, KS 66160
Phone (913) 588-1944

3901 Rainbow Blvd
#1020
Kansas City, KS 66160
Phone (913) 588-3807

Interoperability endpoints

  • Direct secure messaging: bkelly1632@direct.kuha.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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1376705798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KANSAS UNIVERSITY PHYSICIAN INC",
            "address_2": "3901 RAINBOW BLVD, 4070 DELP, MS 4017",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KU MEDICAL CENTER DIV OF GENERAL &",
            "address_2": "3901 RAINBOW BLVD, MS 1020",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661600001",
            "telephone_number": "913-588-6005",
            "fax_number": "913-588-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRENDAN",
        "middle_name": "SEAN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "9406982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.