Individual provider Active NPI

Kelly Hale, MD

  • Emergency Medicine Physician
  • Newark, DE
National Provider Identifier
1467985648
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57135 Issued in KY
Practice address
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone
(817) 565-6027
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 57135 KY Primary
Emergency Medicine Physician 207P00000X TP021 KY
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X C7-0006532 DE
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X C7-0006532 DE

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

Mailing address

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1000

Other identifiers 1

IdentifierTypeStateIssuer
7100849550MedicaidKY

Other names 1

  • Kelly Ware Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, SC, AL, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20221008000166 KY Practitioner - Emergency Medicine 7810265600 Reassigns benefits to 2 organizations
I20230524000875 SC Practitioner - Emergency Medicine 7810265600 Reassigns benefits to 1 organization
I20240206002619 AL Practitioner - Emergency Medicine 7810265600 Reassigns benefits to 2 organizations
I20250116001781 TX Practitioner - Emergency Medicine 7810265600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Travis County Emergency Physicians PAGroup PAC ID 0840289468, 289 clinicians
Usacs Integrated Acute Care Services of Texas, PLLCGroup PAC ID 7618237264, 398 clinicians

Practice addresses (Care Compare)

111 Dallas St
San Antonio, TX 78205-1201
Phone (210) 297-7000

1401 Medical Pkwy
Cedar Park, TX 78613-7763
Phone (512) 528-7000

Hospital & facility affiliations

  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Houston Methodist Clear Lake Hospital Hospital, Nassau Bay, TX, CCN 450709
  • Houston Methodist Baytown Hospital Hospital, Baytown, TX, CCN 450424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of Texas, PLLC Single Specialty CurrentSince Dec 15, 2024 Accepting new patients
Paragon Contracting Services LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
T J Samson Community Hospital Single Specialty CurrentSince Oct 3, 2022 Accepting new patients
Southeastern Emergency Physicians LLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
T J Samson Community Hospital Single Specialty Current Accepting new patients
T J Samson Community Hospital Single Specialty Current Accepting new patients
Travis County Emergency Physicians PA Single Specialty CurrentSince Nov 15, 2024 Accepting new patients
Emergency Services of Montgomery PC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC Single Specialty CurrentSince May 1, 2023 Accepting new patients

Locations

50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

4000 Highway 9 E
Little River, SC 29566
Phone (843) 390-8100

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

3501 Mills Ave
Austin, TX 78731
Phone (512) 324-1017

1401 Medical Pkwy
Cedar Park, TX 78613
Phone (512) 528-7000

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Interoperability endpoints

  • Direct secure messaging: khale82731@directmcleodehealth.org

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1467985648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "817-565-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "KELLY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "57135",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "TP021",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "DE",
            "license": "C7-0006532",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C7-0006532",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100849550",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WARE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.