Thomas J. Kelly, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD019663E Issued in PA

Practice address

100 Delafield Rd
Suite 307
Pittsburgh, PA 15215-3247

Phone

(412) 784-1110

Fax

(412) 784-1181

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396779666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DELAFIELD RD",
            "address_2": "SUITE 307",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153247",
            "telephone_number": "412-784-1110",
            "fax_number": "412-784-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DELAFIELD RD",
            "address_2": "SUITE 307",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152153247",
            "telephone_number": "412-784-1110",
            "fax_number": "412-784-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD019663E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Kelly, M.S.
• Sean Kelly
• Shaina Lavelle Kelly, MD
• Stacy Lynne Kelly, NP
• Susan Kelly
• Thomas M Kelly, PHD
• Tierney Kelly, V.M.D.
• Yassmine Kelly
• Zahra Rahman Kelly, DO
• Stephen Kelminson, MD

• Gastroenterology Physician in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.