Augustine J. Kellis, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35060480 Issued in OH

Practice address

150 7TH Ave
Suite 100
Chardon, OH 44024-2908

Phone

(440) 285-2020

Fax

(440) 285-8448

NPI assigned

Jun 15, 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 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Ophthalmology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ophthalmology and Oculoplastic Surgery IncGroup PAC ID 1355247081, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.83 of 100Reported as group

Quality

91.89

Improvement activities

40

Cost

80.23

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akellis219115@ehrdirect.uhhospitals.org
• Direct secure messaging: akellis@osm.intellechartdirect.net
• Direct secure messaging: augustine.kellismd.1@kelliseyecenter.lakehealthdirect.org

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.

• Ophthalmology & Oculoplastic Surgery Inc

  • Ophthalmology Physician
  • Chardon, OH
  • NPI 1073713400
  Medicare reassignment Care Compare group NPD
• Eye Bone, LLC

  • Ambulatory Surgical Clinic/Center
  • Chardon, OH
  • NPI 1730409400
  NPD (past) Authorized official
• Michigan Ophthalmology Specialists, PLLC

  • Ophthalmology Physician
  • Livonia, MI
  • NPI 1942272364
  NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1437193828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 7TH AVE",
            "address_2": "SUITE 100",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242908",
            "telephone_number": "440-285-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 7TH AVE",
            "address_2": "SUITE 100",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242908",
            "telephone_number": "440-285-2020",
            "fax_number": "440-285-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLIS",
        "first_name": "AUGUSTINE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35060480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978036",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180020602",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Augustine.KellisMD.1@kelliseyecenter.LAKEHEALTHDIRECT.ORG",
            "affiliation": "N",
            "address_1": "150 7th Ave",
            "address_2": "Suite 100",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440242908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akellis@osm.intellechartdirect.com",
            "affiliation": "N",
            "address_1": "150 7th Ave",
            "address_2": "Suite 100",
            "city": "Chardon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440242908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Kazmierczak
• Amber Keane
• Tiara D Keegan
• Laura Keeley, PTA
• Jamie Keller
• George J Kellis, M.D.
• Michael J Kellis, D.O.
• James Wayne Kendzierski, COTA/L
• Trocon Keneah
• Winifred Keneah

• Ophthalmology Physician in Chardon, OH
• Providers in Chardon, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.