Active NPI
Steven Mark Kelly, MD
- Surgery Physician
- Canton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35080037
- Practice address
- 2600 6TH St SW
Aultman Hospital
Canton, OH 44710-1702 - Phone
- (330) 452-9911
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35080037 | OH | Primary |
Addresses
Primary practice location
2600 6TH St SW
Aultman Hospital
Canton, OH 44710-1702
Mailing address
2600 6TH St SW
Aultman Hospital
Canton, OH 44710-1702
Phone (330) 452-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2345966 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Tuscarawas St W
Suite 540
Canton, OH 44708-4699
Phone (330) 454-0350
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.12 of 100
- Quality
- 77.5
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 74.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 24 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Specialty Physicians Corporation | Current | Accepting new patients | |
| Aultman Hospital | Current | Accepting new patients | |
| Ohio Specialty Physicians Corporation | Surgery | Current | Accepting new patients |
Locations
270 E State St
Ste 120
Alliance, OH 44601
Phone (330) 453-4300
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
2600 Tuscarawas St W
Ste 600
Canton, OH 44708
Phone (330) 453-4300
2600 Tuscarawas St W
Ste 540
Canton, OH 44708
Phone (330) 363-6281
2600 Tuscarawas St W
Ste 420
Canton, OH 44708
Phone (330) 453-4300
2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702
603 Monroe St
Ste 103
Dover, OH 44622
Phone (330) 453-4300
6046 Whipple Ave NW
North Canton, OH 44720
Phone (330) 433-1200
830 S Main St
Ste 101
Orrville, OH 44667
Phone (330) 438-6333
Interoperability endpoints
- steven.kelly@direct.aultman.org
Organizations & group practices 3
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.
-
- Surgery Physician
- Canton, OH
- NPI 1285745364
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
-
- Durable Medical Equipment & Medical Supplies
- North Canton, OH
- NPI 1972299063
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Canton, OH
- NPI 1356366991
-
- Critical Access Hospital
- Orrville, OH
- NPI 1891718375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1629086475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "AULTMAN HOSPITAL",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-452-9911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "AULTMAN HOSPITAL",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-452-9911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "STEVEN",
"middle_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35080037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2345966",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.