Active NPI
Patrick Sean Kelly, MD
- Internal Medicine Physician
- Murray, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 32195
- Practice address
- 803 Poplar St
Murray, KY 42071-2432 - Phone
- (270) 762-1100
- NPI assigned
- Nov 17, 2005
- Last updated
- Aug 2, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 32195 | KY | Primary |
Addresses
Primary practice location
803 Poplar St
Murray, KY 42071-2432
Mailing address
1000 S 12TH St
Murray, KY 42071-9303
Phone (270) 759-9200
Other practice location 1
1000 S 12th St
Murray, KY 42071-9303
Phone (270) 759-9200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000050312 | Other | KY | ANTHEM PROVIDER NUMBER |
| 64321953 | Medicaid | KY | |
| 110168896 | Other | KY | RAILROAD MEDICARE PROV NO |
Other names 1
- P Sean Kelly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- 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
- Internal Medicine
- Education
- University of Louisville School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1597
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32195 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Central Kentucky | Internal Medicine | Current | Accepting new patients |
| Murray-Calloway County Public Hospital Corporation | Current | Accepting new patients | |
| Murray-Calloway County Public Hospital Corporation | Internal Medicine | Current | Accepting new patients |
| Murray-Calloway County Public Hospital Corporation | Internal Medicine | Current | Accepting new patients |
| VMD Primary Providers Central Kentucky | Internal Medicine | Current | Accepting new patients |
| Murray-Calloway County Public Hospital Corporation | Past | Accepting new patients |
Locations
543 Powell Ln
Benton, KY 42025
Phone (270) 252-1700
1000 S 12th St
Murray, KY 42071
Phone (270) 759-9200
300 S 8th St
Ste 380W
Murray, KY 42071
Phone (270) 753-0704
300 S 8th St
Ste 480W
Murray, KY 42071
Phone (270) 762-1104
803 Poplar St
Murray, KY 42071
Phone (270) 762-1155
Organizations & group practices 6
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.
-
dba Physician Specialist of Murray
- Multi-Specialty Clinic/Center
- Murray, KY
- NPI 1629202858
Internal Medicine
-
- Internal Medicine Physician
- Murray, KY
- NPI 1831674654
-
- Rural Acute Care Hospital
- Murray, KY
- NPI 1063549814
-
dba Murray Medical Associats
- Multi-Specialty Clinic/Center
- Murray, KY
- NPI 1093988388
Internal Medicine
-
dba Village Medical
- Rural Health Clinic/Center
- Lebanon, KY
- NPI 1063120194
Internal Medicine
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Murray, KY
- NPI 1043336910
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
-
- Critical Access Hospital
- Cadiz, KY
- NPI 1538218680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690934400000",
"number": "1598747396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S 12TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420719303",
"telephone_number": "270-759-9200",
"fax_number": "270-759-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712432",
"telephone_number": "270-762-1100"
}
],
"practiceLocations": [
{
"address_1": "1000 S 12th St",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "KY",
"postal_code": "420719303",
"country_code": "US",
"telephone_number": "270-759-9200",
"fax_number": "270-759-9966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "PATRICK",
"middle_name": "SEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2023-08-02",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "32195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000050312",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64321953",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV NO",
"identifier": "110168896",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "P",
"last_name": "KELLY",
"middle_name": "SEAN",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.