Individual provider Active NPI

Robert W Kelty, MD

  • Obstetrics & Gynecology Physician
  • Slingerlands, NY
National Provider Identifier
1619937174
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
184827 Issued in NY
Practice address
1240 New Scotland Rd Ste 100
Slingerlands, NY 12159
Phone
(518) 475-7000
NPI assigned
Mar 27, 2006
Last updated
May 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 184827 NY Primary

Addresses

Primary practice location

1240 New Scotland Rd Ste 100
Slingerlands, NY 12159

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

250 Delaware Ave
Suite 100
Delmar, NY 12054-1401
Phone (518) 274-0476

Other practice location 2

326 S Pearl St
Albany, NY 12202-1914
Phone (518) 449-0100

Other practice location 3

1240 New Scotland Rd Ste 100
Slingerlands, NY 12159
Phone (518) 475-7000

Other identifiers 1

IdentifierTypeStateIssuer
01450619MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080418000486 NY Practitioner - Obstetrics/Gynecology 4183702988 Reassigns benefits to 3 organizations
I20230928001136 FL Practitioner - Obstetrics/Gynecology 4183702988 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 22, 2023 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Feb 25, 2019 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Feb 25, 2019 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Jan 11, 2023 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology Current Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Feb 1, 2021 Accepting new patients
OB Hospitalist Group LLC Obstetrics & Gynecology CurrentSince Jun 22, 2023 Accepting new patients

Locations

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

326 S Pearl St
Albany, NY 12202
Phone (518) 449-0100

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

5 Elm Ave
#2
Delmar, NY 12054
Phone (518) 439-9363

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

1240 New Scotland Rd
Ste 100
Slingerlands, NY 12159
Phone (518) 475-1818

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607

Interoperability endpoints

  • Direct secure messaging: rkelty789309@direct.trinity-health.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1619937174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NEW SCOTLAND RD STE 100",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "12159",
            "telephone_number": "518-475-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Delaware Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "120541401",
            "country_code": "US",
            "telephone_number": "518-274-0476",
            "fax_number": "518-274-0497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 S Pearl St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122021914",
            "country_code": "US",
            "telephone_number": "518-449-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1240 New Scotland Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Slingerlands",
            "state": "NY",
            "postal_code": "12159",
            "country_code": "US",
            "telephone_number": "518-475-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELTY",
        "first_name": "ROBERT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "184827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01450619",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1240 New Scotland Rd Ste 100",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

Verify at the official NPI Registry.