P a Kelly MD PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

11020 Issued in MT

Legal business name

P A KELLY MD PLLC

Practice address

2419 Mullan Rd Ste a
Missoula, MT 59808-1856

Phone

(406) 541-1400

Fax

(406) 541-1401

NPI assigned

Apr 24, 2017

Last updated

Feb 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sherri Madzelonka, RN

Title

Prac

Phone

(406) 541-1400

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Anne Kelly, MD

  • Cardiovascular Disease Physician
  • Missoula, MT
  • NPI 1831149269
  Medicare reassignment
• Newton Basil Coutinho, MD

  • Cardiovascular Disease Physician
  • Missoula, MT
  • NPI 1124077334
  NPD

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1487189874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6011",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598066011",
            "telephone_number": "406-541-1400",
            "fax_number": "406-541-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 MULLAN RD STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081856",
            "telephone_number": "406-541-1400",
            "fax_number": "406-541-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P A KELLY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2025-02-03",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MADZELONKA",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRAC",
        "authorized_official_telephone_number": "406-541-1400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MT",
            "license": "11020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "patricia.kellymdp1@directmissoulacardiology.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "2419 Mullan Rd Ste A",
            "city": "Missoula",
            "state": "MT",
            "country_code": "US",
            "postal_code": "598081856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Leo Ouellette, D.D.S.
• Josilyn Olson Ovenell, M.S., CCC-SLP, CBIS
• Kari Ann Owen, PH.D.
• Lydia Owings, MA
• Desiree Nicole Owsley, PHARMD
• Lisa Lya Pacheco, DO
• Pacific Medical, Inc. (Pacific Medical Prosthetics & Orthotics)
• Ashley Lynn Palacio, P.T., D.P.T
• Rye Scully Palen, LCSW
• Matthew Jude Pall, AUD

• Interventional Cardiology Physician in Missoula, MT
• Providers in Missoula, MT by specialty
• Interventional Cardiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.