Individual provider Active NPI

James Anthony Kelly, MD

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1447543087
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P7481 Issued in TX
Practice address
6393 Babcock Rd # 102
San Antonio, TX 78240-2516
Phone
(210) 436-8400
Fax
(833) 452-1052
NPI assigned
May 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P7481 TX Primary

Addresses

Primary practice location

6393 Babcock Rd # 102
San Antonio, TX 78240-2516

Mailing address

6393 Babcock Rd # 102
San Antonio, TX 78240-2516
Phone (210) 436-8400

Other practice location 1

2200 E Houston St
San Antonio, TX 78202-3007
Phone (210) 436-8400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address james.kelly.1@13711.direct.athenahealth.com

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
I20140904001980 TX Practitioner - Family Practice 3971721945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Tulane University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uvalde County Hospital AuthorityGroup PAC ID 7315832722, 26 clinicians
VMD Primary Providers South Hill Country Texas, PLLCGroup PAC ID 4284048646, 30 clinicians

Practice addresses (Care Compare)

517 N Ctr St
Sabinal, TX 78881-5100

5282 Medical Dr
Suite 210
San Antonio, TX 78229-4849
Phone (726) 200-1725

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P7481TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uvalde County Hospital Authority CurrentSince Jan 28, 2017 Accepting new patients
Uvalde County Hospital Authority CurrentSince Jan 28, 2017 Accepting new patients
VMD Primary Providers South Hill Country Texas, PLLC Family Medicine CurrentSince Jan 12, 2022 Accepting new patients
Cleanslate Medical Group of Texas PLLC PastSince Jan 12, 2022 Accepting new patients

Locations

9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701

517 N Center St
Sabinal, TX 78881
Phone (830) 988-2582

5282 Medical Dr
Ste 210
San Antonio, TX 78229
Phone (210) 580-5440

2200 E Houston St
San Antonio, TX 78202
Phone (210) 354-3993

6393 Babcock Rd
Ste 102
San Antonio, TX 78240

6393 Babcock Rd
#102
San Antonio, TX 78240
Phone (726) 200-1725

1195 Garner Field Rd
Ste 300
Uvalde, TX 78801
Phone (830) 278-3086

Organizations & group practices 4

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": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1447543087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6393 BABCOCK RD # 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402516",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6393 BABCOCK RD # 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402516",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E Houston St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782023007",
            "country_code": "US",
            "telephone_number": "210-436-8400",
            "fax_number": "833-452-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-16",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P7481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.kelly.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Village Medical Texas",
            "address_1": "6393 Babcock Rd # 102",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782402516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.