Robert H Kelly MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ROBERT H KELLY MD PLLC

Practice address

929 College Ave
Fort Worth, TX 76104-3011

Phone

(817) 336-3432

NPI assigned

Dec 4, 2019

Organization subpart

No

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

Authorized official

Name

Robert Hart Kelly, MDNPI 1619944485

Title

Doctor

Phone

(817) 336-3432

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Hart Kelly, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1619944485
  Medicare reassignment Authorized official
• Allan Rowan Kelly, M.D.

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1598769333
  NPD
• Martha Claire Kelly-Legler, APRN-CNP

  • Primary Care Nurse Practitioner
  • Tulsa, OK
  • NPI 1588241749
  NPD

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1609413046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043011",
            "telephone_number": "817-336-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT H KELLY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-336-3432",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert D. Esparza, DDS, PC
• Robert D. Esparza, DDS, PC
• Robert D. Menzies, MD, PLLC
• Robert D. Menzies, MD, PLLC
• Robert G Ranelle DO PA
• Robert Henry, III, MD, PA
• Robert J. Burkett, M.D., P.a.
• Robert J. Rogers, M.D., P.a.
• Robert Marriott Medical Corp
• Robert T Keller MD & Assco PA

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.