Individual provider Active NPI

Patricia Kelly, D.O.

  • Cardiovascular Disease Physician
  • Plantation, FL
National Provider Identifier
1457518441
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
OS20653 Issued in FL
Practice address
1733 N University Dr
Plantation, FL 33322-4111
Phone
(954) 247-2168
Fax
(877) 582-3859
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 232224 NY
Specialist 174400000X 232224 NY
Cardiovascular Disease Physician 207RC0000X OS20653 FL Primary
Internal Medicine Physician 207R00000X OS20653 FL

Addresses

Primary practice location

1733 N University Dr
Plantation, FL 33322-4111

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address patricia.kelly.2@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120418000056 NY Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 0749441863 Reassigns benefits to 2 organizations
I20250822003244 FL Practitioner - Cardiovascular Disease (Cardiology) 0749441863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Conviva Specialty LLCGroup PAC ID 2365729308, 16 clinicians
Lefferts Medical Associates PCGroup PAC ID 6305839150, 17 clinicians

Practice addresses (Care Compare)

1733 N University Dr
Plantation, FL 33322-4111
Phone (954) 247-2168

26619 Union Tpke
New Hyde Park, NY 11040-1426
Phone (718) 347-0434

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 525-8567

7218 164TH St
Fresh Meadows, NY 11365-4222
Phone (718) 969-6640

7801 Myrtle Ave
Glendale, NY 11385-7439
Phone (718) 386-8300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232224NYMDSpecialist
OS20653FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Conviva Specialty, LLC Cardiovascular Disease CurrentSince Sep 29, 2025 Accepting new patients
Instant Medical Care, PC Internal Medicine CurrentSince Mar 5, 2023 Accepting new patients
North Shore-Lij Medical PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Lefferts Medical Associates PC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Flushing Primary Care Associates, LLP Past Accepting new patients

Locations

9740 SW 40th St
Miami, FL 33165
Phone (305) 222-2880

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

301 NW 84th Ave
#302
Plantation, FL 33324
Phone (954) 247-2168

1733 N University Dr
Plantation, FL 33322
Phone (954) 247-2168

7801 Myrtle Ave
Glendale, NY 11385
Phone (718) 326-4332

26619 Union Tpke
New Hyde Park, NY 11040
Phone (718) 347-0434

27005 76th Ave
North New Hyde Pk, NY 11040

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: patricia.kelly.1@29601.direct.athenahealth.com

Organizations & group practices 6

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1457518441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 N UNIVERSITY DR",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333224111",
            "telephone_number": "954-247-2168",
            "fax_number": "877-582-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICIA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "232224",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "232224",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "OS20653",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS20653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.kelly.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1733 N University Dr",
            "city": "Plantation",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333224111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.