Active NPI
Michael Patrick Kelly, MD
- Orthopaedic Surgery Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A100116
- Practice address
- 300 Pasteur Dr
Stanford, CA 94305-2200 - Phone
- (650) 723-4000
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 2010008619 | MO | |
| Orthopaedic Surgery Physician | 207X00000X | A100116 | CA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | A100116 | CA |
Addresses
Primary practice location
300 Pasteur Dr
Stanford, CA 94305-2200
Mailing address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
Other practice location 1
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
Other practice location 2
3030 Childrens Way
San Diego, CA 92123-4232
Phone (858) 966-6789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205620107 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Massachusetts Medical School, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2125 Citracado Pkwy
Escondido, CA 92029-4159
Phone (760) 294-9260
300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000
3010 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3020 Children'S Way
San Diego, CA 92123-4223
Phone (858) 576-1700
3030 Childrens Way
San Diego, CA 92123-4232
Phone (858) 576-1700
Hospital & facility affiliations
- UC San Diego Health Hillcrest - Hillcrest Med Ctr
- Stanford Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 1-10 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100116 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Current | Accepting new patients | |
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Regents of the University of California | Orthopaedic Surgery | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Stanford Health Care | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
2125 Citracado Pkwy
Ste 100
Escondido, CA 92029
Phone (760) 739-1543
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
9400 Campus Point Dr
La Jolla, CA 92093
Phone (858) 249-3800
25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277
25170 Hancock Ave
Fl 1
Murrieta, CA 92562
3605 Vista Way
Ste 172
Oceanside, CA 92056
Phone (760) 547-1000
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
3030 Childrens Way
San Diego, CA 92123
Phone (858) 966-4003
3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
Organizations & group practices 11
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.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1669617197
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Orthopaedic Surgery Physician
- San Diego, CA
- NPI 1225130677
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1508997420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PASTEUR DR",
"city": "STANFORD",
"state": "CA",
"postal_code": "943052200",
"telephone_number": "650-723-4000"
}
],
"practiceLocations": [
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3030 Childrens Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234232",
"country_code": "US",
"telephone_number": "858-966-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "MO",
"license": "2010008619",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A100116",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "A100116",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205620107",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4921 Parkview Pl",
"address_2": "Ste 6A/6B/12A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101032",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.