Pardis A Kelly, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2063 Issued in NV

Practice address

9940 W Flamingo Road
Suite 101
Las Vegas, NV 89147

Phone

(702) 605-6220

Fax

(702) 605-5880

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Reyzelman Nevada PLLCGroup PAC ID 0840622569, 11 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kpardis@pakdi-nv.direct.office.nextgen.com

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.

• Pardis a. Kelly DPM Inc.

  • Podiatrist
  • Las Vegas, NV
  • NPI 1639760960
  Medicare reassignment NPD Authorized official
• Reyzelman Nevada PLLC

  • Podiatrist
  • Henderson, NV
  • NPI 1497378517
  Medicare reassignment Care Compare group NPD
• Paragon Physical Therapy and Rehab, LLC

  • Physical Therapy Clinic/Center
  • Bullhead City, AZ
  • NPI 1538694104
  Care Compare group
• Reyzelman Nevada PLLC

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
  • NPI 1578421665
  NPD
• Roger B Reed DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Henderson, NV
  • NPI 1083003891
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1487684189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 W CHARLESTON BLVD",
            "address_2": "STE 102 PMB 396",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175000",
            "telephone_number": "650-303-5100",
            "fax_number": "650-595-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 W FLAMINGO ROAD",
            "address_2": "SUITE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89147",
            "telephone_number": "702-605-6220",
            "fax_number": "702-605-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 LAUREL ST",
            "address_2": "Suite E",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "94070",
            "country_code": "US",
            "telephone_number": "650-595-4148",
            "fax_number": "650-595-3013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PARDIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E41580",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NV",
            "license": "2063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Kelly
• Michelle Kelly
• Nakeisha Kelly
• Nicole Kelly
• Paige Kelly, BA
• Rae Francis Kelly, B.S.,D.C.
• Scott Kelly, LPN
• Sean Kelly
• Tammika L Kelly
• Thomas Francis Kelly, M.D.

• Podiatrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Podiatrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.