Amy B Kelley, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Sioux Falls, SD
NPI 1598847154 · NPPES record last updated Apr 4, 2022
Key facts
- NPI
- 1598847154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 8235 (SD)
- Practice address
- 1500 W 22ND St Ste 301
Sioux Falls, SD 57105-1503 - Phone
- (605) 328-7700
- Fax
- (605) 328-7775
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Medical Center
Practice addresses (Care Compare)
1301 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-2200
1305 W 18TH St
Sioux Falls, SD 57105-0401
Phone (605) 312-7300
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
5920 E Madison St
Sioux Falls, SD 57110-6489
Phone (605) 312-5000
Hospital & facility affiliations
- Sanford Usd Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 75.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.53
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.78 of 100
- Quality
- 78.77
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.49
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080913000101 | IA | Practitioner - Obstetrics/Gynecology | 2567568934 | Reassigns benefits to 1 organization |
| I20120221000722 | SD | Practitioner - Obstetrics/Gynecology | 2567568934 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37677 | IA | MD | Obstetrics & Gynecology Physician |
| 01061168 | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Clinic | Current | Accepting new patients | |
| Sanford Clinic | Current |
Accepting new patients | |
| Sanford Medical Center | Obstetrics & Gynecology | Current |
Accepting new patients |
| Sanford Medical Center | Past | Accepting new patients |
Locations
1000 Lincoln Cir SE
Orange City, IA 51041
Phone (712) 737-2000
5920 E Madison St
Sioux Falls, SD 57110
Phone (605) 312-5000
1500 W 22nd St
Ste 301
Sioux Falls, SD 57105
Phone (605) 328-7700
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1500 W 22nd St
Ste 102
Sioux Falls, SD 57105
Phone (605) 328-8800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 37677 | IA | |
| Obstetrics & Gynecology Physician | 207V00000X | 01061168 | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | 8235 | SD | Yes |
Addresses
Primary practice location
1500 W 22ND St Ste 301
Sioux Falls, SD 57105-1503
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (605) 328-6585
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598847154 | Medicaid | IA | |
| P00708614 | Other | IA | RR MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | akelleyosdoba1867433@direct.sanfordhealth.org |
Other providers in Sioux Falls, SD
- Meredith Michelle Keith
- Suzanne Marie Keizer
- Davette Keller
- Elly Claire Keller
- Lyndsay Marie Keller
- Jacqueline Kelley
- Kris B. Kelley
- Stephanie Kelley
- Sherese Kelliher
- Brianna C Kelly
All providers in Sioux Falls, SD · Obstetrics & Gynecology Physician in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.