NPIMap

Individual provider Active NPI

John Kelleher, M.D.

  • Neurological Surgery Physician
  • Hershey, PA
National Provider Identifier
1609082072
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD438056 Issued in PA
Practice address
30 Hope Dr
Hershey, PA 17033-2036
Phone
(717) 531-3828
Fax
(717) 531-0793
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD438056 PA Primary

Addresses

Primary practice location

30 Hope Dr
Hershey, PA 17033-2036

Mailing address

500 University Dr
H088
Hershey, PA 17033-2360
Phone (717) 531-1692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821001702 PA Practitioner - Neurosurgery 0749417905 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Milton S Hershey Medical Center Physicians GroupGroup PAC ID 3870405483, 1,606 clinicians

Practice addresses (Care Compare)

30 Hope Dr
Suite 1200
Hershey, PA 17033-2036
Phone (717) 531-3828

Hospital & facility affiliations

  • Milton S Hershey Medical Center Hospital, Hershey, PA, CCN 390256
  • Wellspan Chambersburg Hospital Hospital, Chambersburg, PA, CCN 390151
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Wellspan Good Samaritan Hospital Hospital, Lebanon, PA, CCN 390066
  • Penn State Health St. Joseph Hospital, Reading, PA, CCN 390096

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
73.34
Promoting interoperability
97
Improvement activities
40
Cost
78.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion179
Laminectomy or laminotomy (partial removal of spine bones)45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD438056PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Milton S. Hershey Medical Center Physicians Group Neurological Surgery CurrentSince Jul 1, 2014 Accepting new patients
The Milton S Hershey Medical Center Physicians Group Current Accepting new patients
The Milton S Hershey Medical Center Physician Group CurrentSince Jul 1, 2014 Accepting new patients
Tower Health Medical Group CurrentSince Jul 2, 2014 Accepting new patients
Tower Health Medical Group CurrentSince Jul 2, 2014 Accepting new patients
Tower Health Medical Group Current Accepting new patients
The Milton S. Hershey Medical Center Physicians Group Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
The Milton S Hershey Medical Center Past Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

423 N 21st St
Ste 300
Camp Hill, PA 17011
Phone (717) 763-1174

500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261

30 Hope Dr
Ste 1200
Hershey, PA 17033
Phone (717) 531-3828

500 University Dr
#H88
Hershey, PA 17033
Phone (717) 531-1692

500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

30 Hope Dr
Hershey, PA 17033
Phone (717) 531-3828

880 Century Dr
Mechanicsburg, PA 17055
Phone (717) 691-3235

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Organizations & group practices 9

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1609082072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR",
            "address_2": "H088",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "717-531-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-3828",
            "fax_number": "717-531-0793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD438056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

Verify at the official NPI Registry.