Individual provider Active NPI

Patrick S Kelley, MD

  • Ophthalmology Physician
  • Sun City, AZ
National Provider Identifier
1508853128
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61123922 Issued in WA
Practice address
10701 W Bell Rd
Sun City, AZ 85351-1074
Phone
(623) 888-8191
Fax
(623) 977-6911
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 75952 AZ
Ophthalmology Physician 207W00000X MD61123922 WA Primary
Ophthalmology Physician 207W00000X C160209 CA

Addresses

Primary practice location

10701 W Bell Rd
Sun City, AZ 85351-1074

Mailing address

PO Box 201764
Dallas, TX 75320-1764
Phone (636) 200-4393

Other practice location 1

500 W Savage St
Wickenburg, AZ 85390-4235
Phone (928) 415-2188

Other practice location 2

19052 N R H Johnson Blvd
Sun City West, AZ 85375-4401
Phone (623) 232-0560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250414001143 AZ Practitioner - Ophthalmology 6709850894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Medical College of Ohio, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emilio Martin Justo MD PCGroup PAC ID 4183600810, 12 clinicians

Practice addresses (Care Compare)

10701 W Bell Rd
Sun City, AZ 85351-1074
Phone (623) 876-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75952AZMDOphthalmology Physician
C160209CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emilio Martin Justo MD PC Ophthalmology CurrentSince May 1, 2025 Accepting new patients
Eye Physicians, P.C. CurrentSince Jan 27, 2023 Accepting new patients
Milauskas Eye Institute Medical Group II Inc Ophthalmology Past Accepting new patients

Locations

10701 W Bell Rd
Sun City, AZ 85351
Phone (623) 876-2020

19052 N R H Johnson Blvd
Sun City West, AZ 85375
Phone (623) 232-0560

500 W Savage St
Wickenburg, AZ 85390
Phone (623) 474-3937

3772 43rd Ave
Columbus, NE 68601
Phone (402) 563-3686

Interoperability endpoints

  • Direct secure messaging: pkelley@eyephysicians.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1508853128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201764",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201764",
            "telephone_number": "636-200-4393",
            "fax_number": "480-558-7162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 W BELL RD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511074",
            "telephone_number": "623-888-8191",
            "fax_number": "623-977-6911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Savage St",
            "address_purpose": "LOCATION",
            "city": "Wickenburg",
            "state": "AZ",
            "postal_code": "853904235",
            "country_code": "US",
            "telephone_number": "928-415-2188",
            "fax_number": "928-684-0387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19052 N R H Johnson Blvd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754401",
            "country_code": "US",
            "telephone_number": "623-232-0560",
            "fax_number": "623-975-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "PATRICK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "75952",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61123922",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C160209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.