Individual provider Active NPI

Sally Ann Kelley, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Harlingen, TX
National Provider Identifier
1396801213
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
R0040 Issued in TX
Practice address
3809 W Business 83
Harlingen, TX 78552-3521
Phone
(956) 504-3550
Fax
(956) 734-9038
NPI assigned
Dec 28, 2006
Last updated
Oct 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X R0040 TX Primary

Addresses

Primary practice location

3809 W Business 83
Harlingen, TX 78552-3521

Mailing address

3809 W Business 83
Harlingen, TX 78552-3521
Phone (956) 504-3550

Other identifiers 1

IdentifierTypeStateIssuer
532194YMVUOtherWELLMED NETWORKS INC

Other names 1

  • Sally Ann Wiest Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161006000460 TX Practitioner - Internal MedicinePractitioner - Hospice/Palliative Care 8628175924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospice/Palliative Care
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (210) 617-4706

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Networks, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Wellmed Medical Group, PA Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Wellmed Medical Group, P.a. Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Metro Infectious Disease Consultants LLC Past Accepting new patients
Midwest Palliative & Hospice Carecenter Past Accepting new patients

Locations

5460 Paredes Line Rd
Ste 209
Brownsville, TX 78526
Phone (956) 554-0010

3809 W Business 83
Harlingen, TX 78552
Phone (956) 364-0325

509 S Expressway 83
Ste B2
Harlingen, TX 78550
Phone (956) 406-6285

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: sally.kelley@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1396801213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 W BUSINESS 83",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523521",
            "telephone_number": "956-504-3550",
            "fax_number": "956-734-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 W BUSINESS 83",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785523521",
            "telephone_number": "956-504-3550",
            "fax_number": "956-734-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "SALLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "R0040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED NETWORKS INC",
            "identifier": "532194YMVU",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "WIEST",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.