Active NPI
Kelli A Hertz, M.D.
- Obstetrics & Gynecology Physician
- Mooresville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 01057454
- Practice address
- 1205 Hadley Rd Ste 120
Mooresville, IN 46158-1934 - Phone
- (317) 834-8960
- Fax
- (317) 834-8951
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01057454 | IN | Primary |
Addresses
Primary practice location
1205 Hadley Rd Ste 120
Mooresville, IN 46158-1934
Mailing address
PO Box 781076
Detroit, MI 48278-1008
Phone (317) 528-4800
Other practice location 1
1190 W Main St Ste 200
Vevay, IN 47043-3665
Phone (812) 427-9564
Other practice location 2
2051 Clevidence Blvd Ste B
Clarksville, IN 47129-2278
Phone (502) 629-2030
Other practice location 3
206 W Tyson St Ste 1A
Versailles, IN 47042-8036
Phone (812) 689-5101
Other practice location 4
1373 E State Road 62 Ste 2F
Madison, IN 47250-7328
Phone (812) 801-0856
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200427150A | Medicaid | IN | |
| 64069651 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Obstetrics/Gynecology
- Education
- Indiana University School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1205 Hadley Rd
Suite 120
Mooresville, IN 46158-1934
Phone (317) 834-8950
1373 E State Rd
Madison, IN 47250-7328
Phone (812) 801-0856
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.09 of 100
- Quality
- 45.91
- Improvement activities
- 40
- Cost
- 76.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057454 | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton - Kings Daughters Health Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Tristate Pathology and Forensic Services LLC | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton - Kings Daughters Health Inc | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Medical Associates, Inc. | Past | Accepting new patients |
Locations
2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650
2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
1373 E State Road 62
Ste 2F
Madison, IN 47250
Phone (812) 801-0856
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
1205 Hadley Rd
Ste 120
Mooresville, IN 46158
Phone (317) 584-3454
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
1190 W Main St
Ste 200
Vevay, IN 47043
Phone (812) 427-9423
Interoperability endpoints
- khertz244957@direct.nortonhealthcare.org
Organizations & group practices 8
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1225327984
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
IN, Obstetrics & Gynecology
-
- Family Medicine Physician
- Madison, IN
- NPI 1114955093
Obstetrics & Gynecology
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
-
- Clinical Medical Laboratory
- Madison, IN
- NPI 1497024426
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawrenceburg, IN
- NPI 1649720244
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neurological Surgery Physician
- Louisville, KY
- NPI 1922288760
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, IN
- NPI 1518916048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1538199591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781008",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 HADLEY RD STE 120",
"city": "MOORESVILLE",
"state": "IN",
"postal_code": "461581934",
"telephone_number": "317-834-8960",
"fax_number": "317-834-8951"
}
],
"practiceLocations": [
{
"address_1": "1190 W Main St Ste 200",
"address_purpose": "LOCATION",
"city": "Vevay",
"state": "IN",
"postal_code": "470433665",
"country_code": "US",
"telephone_number": "812-427-9564",
"fax_number": "812-427-9621",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2051 Clevidence Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "IN",
"postal_code": "471292278",
"country_code": "US",
"telephone_number": "502-629-2030",
"fax_number": "502-629-2070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 W Tyson St Ste 1A",
"address_purpose": "LOCATION",
"city": "Versailles",
"state": "IN",
"postal_code": "470428036",
"country_code": "US",
"telephone_number": "812-689-5101",
"fax_number": "812-689-6199",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1373 E State Road 62 Ste 2F",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "IN",
"postal_code": "472507328",
"country_code": "US",
"telephone_number": "812-801-0856",
"fax_number": "812-801-0771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERTZ",
"first_name": "KELLI",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01057454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200427150A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64069651",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.