Brian Kelly, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME148365 Issued in FL

Practice address

180 JFK Dr Ste 320
Atlantis, FL 33462-6641

Phone

(561) 548-4900

Fax

(561) 434-5165

NPI assigned

Jul 20, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Vascular Surgery

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawnwood Cardiovascular Surgery LLCGroup PAC ID 7214937598, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
• HCA Florida Palms West Hospital Hospital, Loxahatchee, FL, CCN 100269

Merit-based Incentive Payment System (MIPS)

Final score

83.38 of 100Reported as individual

Quality

68.77

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Lawnwood Cardiovascular Surgery LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fort Pierce, FL
  • NPI 1386724169
  Medicare reassignment Care Compare group NPD
• Thoracic & Cardiovascular Surgeons LLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Atlantis, FL
  • NPI 1649212416
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• JFK Medical Center Limited Partnership

  • General Acute Care Hospital
  • Atlantis, FL
  • NPI 1326085424
  Care Compare affiliation
• Palms West Hospital Limited Partnership

  • General Acute Care Hospital
  • Loxahatchee, FL
  • NPI 1528014669
  Care Compare affiliation

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1598053803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 320",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-548-4900",
            "fax_number": "561-434-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 320",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-548-4900",
            "fax_number": "561-434-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-20",
        "last_updated": "2022-02-10",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME148365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109734600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BRIAN.KELLY@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "180 JFK Dr Ste 320",
            "city": "Atlantis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334626641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mohamad Karaali, MD
• Lampros Karakozis, MBBS
• Holly Lynn Karlecke, CRNA
• Srinivas Kaza, MD
• Steven Bradley Keehn, D.O.
• Alan Kelman, DDS
• Kenneth S Jaffe MD PA
• Kenneth S. Jaffe, MD, PA
• Abrar Khan, DO
• Moiz Aftab Khan, MD

• Vascular Surgery Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.