Keith Edward Kelly, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

39808 Issued in KY

Practice address

1920 Broadway St
Paducah, KY 42001-7106

Phone

(270) 442-3647

Fax

(270) 442-3777

NPI assigned

Aug 31, 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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

University of Tennessee, HSC, College of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Paducah Hospital, Paducah, KY, CCN 180104
• Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102
• Continuecare Hospital at Baptist Health Paducah Long-term care hospital, Paducah, KY, CCN 182008

Merit-based Incentive Payment System (MIPS)

Final score

94.29 of 100Reported as apm

Quality

87.32

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kkelly7510@bhkydirect.com
• FHIR API: https://fhir-myrecord.cerner.com/r4/d924d991-43c4-4c48-b322-4525ba4c2001/
• FHIR API: https://fhir4.healow.com/fhir/r4/DJHGAA/Endpoint/DJHGAA

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.

• Baptist Health Medical Group Inc

  • Family Medicine Physician
  • Paducah, KY
  • NPI 1922401611
  Medicare reassignment Care Compare group NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Powderly, KY
  • NPI 1598966269
  NPD
• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• East Tennessee Pulmonary Associates PC

  • Pulmonary Disease Physician
  • Oak Ridge, TN
  • NPI 1992717599
  NPD (past)
• Methodist Medical Center

  • General Acute Care Hospital
  • Oak Ridge, TN
  • NPI 1700870672
  NPD (past)
• Statcare Outpatient, LLC

  • Pulmonary Disease Physician
  • Knoxville, TN
  • NPI 1134653892
  NPD (past)

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

• Baptist Healthcare System, Inc

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1730264128
  Care Compare affiliation
• Continuecare Hospital at Baptist Health Paducah, Inc.

  • Long Term Care Hospital
  • Paducah, KY
  • NPI 1093132300

  Long-term care hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126
  Care Compare affiliation

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1396856746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017106",
            "telephone_number": "270-442-3647",
            "fax_number": "270-442-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017106",
            "telephone_number": "270-442-3647",
            "fax_number": "270-442-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEITH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "39808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00266587",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64113657",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkelly7510@bhkydirect.com",
            "affiliation": "N",
            "address_1": "1920 Broadway St",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420017106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rudy Kellett
• Cecilia Kelley-Burt, RBT
• Amber Renee Kelley-Harned, RPH
• Ronald L Kelley, M.D.
• Samuel K Kelley, M.D.
• Laura Elizabeth Kelso, FNP-BC
• Lauren Kemmerlin
• Tracey Kendall, APSST
• Natasha Jean Kendrick
• Lauren Kennady, PHARMD

• Pulmonary Disease Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.