NPIMap

Individual provider Active NPI

Thomas Francis Kelly, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
National Provider Identifier
1467451526
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9737 Issued in NV
Practice address
6080 S Fort Apache
Suite a
Las Vegas, NV 89148
Phone
(702) 309-2015
NPI assigned
Jul 20, 2005
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9737 NV Primary

Addresses

Primary practice location

6080 S Fort Apache
Suite a
Las Vegas, NV 89148

Mailing address

6080 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148-5616
Phone (702) 309-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061116000164 NV Practitioner - Ophthalmology 3476551938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5052 S Jones Blvd
Suite 175
Las Vegas, NV 89118-1113
Phone (702) 309-2015

6080 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.42 of 100Reported as individual
Quality
93.55
Improvement activities
40
Cost
100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery172

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9737NVMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Ophthalmology PC Ophthalmology CurrentSince Sep 26, 2006 Accepting new patients
C Edward Yee MDPC Ophthalmology PastSince Sep 26, 2006 Accepting new patients

Locations

5052 S Jones Blvd
Ste 175
Las Vegas, NV 89118
Phone (702) 309-2015

6080 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 309-2015

6080 S Fort Apache Rd
Ste A
Las Vegas, NV 89148
Phone (702) 309-2015

Interoperability endpoints

  • Direct secure messaging: tkelly13017@direct.umcsn.com

Organizations & group practices 2

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1467451526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 S FORT APACHE RD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485616",
            "telephone_number": "702-309-2015",
            "fax_number": "702-309-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S FORT APACHE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89148",
            "telephone_number": "702-309-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "9737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.