Individual provider Active NPI

Michele M. Kielty, DO

  • Pediatrics Physician
  • Santa Maria, CA
National Provider Identifier
1386617942
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A7083 Issued in CA
Practice address
1430 E Main St
Suite 202
Santa Maria, CA 93454-4809
Phone
(805) 922-3548
Fax
(805) 928-5609
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 20A7083 CA Primary

Addresses

Primary practice location

1430 E Main St
Suite 202
Santa Maria, CA 93454-4809

Mailing address

1430 E Main St
Suite 202
Santa Maria, CA 93454-4809
Phone (805) 922-3548

Other identifiers 1

IdentifierTypeStateIssuer
11320126OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1144NVMDOptometrist
20A7083CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Regional Medical Center Past Accepting new patients
Dignity Health Past Accepting new patients
Pediatric Medical Group of Santa Maria Inc Pediatrics Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: michele.kielty@pediatricmedicalgroup.directbygreenway.com
  • Direct secure messaging: michele.kielty.1@32391.direct.athenahealth.com

Organizations & group practices 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1386617942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544809",
            "telephone_number": "805-922-3548",
            "fax_number": "805-928-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544809",
            "telephone_number": "805-922-3548",
            "fax_number": "805-928-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELTY",
        "first_name": "MICHELE",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A7083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11320126",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.