Thomas Alan Kelly, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101008344 Issued in MI

Practice address

101 E Spicerville Hwy
Eaton Rapids, MI 48827-1919

Phone

(517) 663-2705

NPI assigned

Apr 18, 2006

Last updated

Mar 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Internal MedicineAlso: Emergency Medicine, General Practice

Education

Michigan State University College of Osteopathic Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thomas a. Kelly D.O. P.C.Group PAC ID 6305962648, 2 clinicians

Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eaton Rapids Medical Center Hospital, Eaton Rapids, MI, CCN 231324
• Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tkelly33519@sparrowdirecthie.org

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Eaton Rapids Medical Center

  • Critical Access Hospital
  • Eaton Rapids, MI
  • NPI 1417044660

  Corporate Director

  CMS ownership
• Eaton Rapids Medical Center

  dba Eaton Rapids Medical Center Family Practice

  • Rural Health Clinic/Center
  • Eaton Rapids, MI
  • NPI 1437383296

  Corporate Director

  CMS ownership
• Eaton Rapids Medical Center

  • Emergency Medicine Physician
  • Eaton Rapids, MI
  • NPI 1730237165

  Corporate Director

  CMS ownership

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.

• Thomas a. Kelly D.O. P.C.

  • General Practice Physician
  • Eaton Rapids, MI
  • NPI 1366689275
  Medicare reassignment Care Compare group Authorized official
• Eaton Rapids Medical Center

  dba Springport Medical Clinic

  • Rural Health Clinic/Center
  • Eaton Rapids, MI
  • NPI 1588810709
  Medicare reassignment NPD
• Eaton Rapids Medical Center

  • Critical Access Hospital
  • Eaton Rapids, MI
  • NPI 1417044660
  Medicare reassignment
• McLaren Greater Lansing

  • Family Medicine Physician
  • Lansing, MI
  • NPI 1962808162
  NPD (past)

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

• Eaton Rapids Medical Center

  • Critical Access Hospital
  • Eaton Rapids, MI
  • NPI 1417044660
  Care Compare affiliation
• Eaton Rapids Medical Center

  • Emergency Medicine Physician
  • Eaton Rapids, MI
  • NPI 1730237165

  Hospital

  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow Lansing

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1073588711
  Care Compare affiliation
• Edward W Sparrow Hospital Association

  dba Thoracic Cardiovascular Institute

  • General Acute Care Hospital
  • Lansing, MI
  • NPI 1760710719
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1629033444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E SPICERVILLE HWY",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271919",
            "telephone_number": "517-663-2705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E SPICERVILLE HWY",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488271919",
            "telephone_number": "517-663-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101008344",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101008344",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "0100444",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD PIN",
            "identifier": "0152330085",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C6121",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "M034742",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3319192",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP FAMIL CARE",
            "identifier": "0170444",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan A Jones, MD
• Joyful Haven Living Assisted
• Jpspine LLC
• Julie Reincke Counselor PLLC
• Drew Kapture, DPT
• Anne Cameron Khol, N.D., F.N.P., B.C.
• Hassan Mohamad Kraidi
• Hyuck S Kwon, RPH
• Chet Lafave, OTRL
• Anne Lange, BSN, LMSW, ACSW

• Family Medicine Physician in Eaton Rapids, MI
• Providers in Eaton Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.