Individual provider Active NPI

Kelly Kinnear, M.D.

  • Obstetrics Physician
  • Oklahoma City, OK
National Provider Identifier
1649682147
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
43170 Issued in OK
Practice address
825 NE 10TH St Ste 3C
Oklahoma City, OK 73104-5417
Phone
(405) 271-5239
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 43170 OK Primary
Obstetrics & Gynecology Physician 207V00000X 57623 TN

Addresses

Primary practice location

825 NE 10TH St Ste 3C
Oklahoma City, OK 73104-5417

Mailing address

825 NE 10TH St Ste 3C
Oklahoma City, OK 73104-5417
Phone (405) 271-5239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OK2 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
I20180912003205 TN Practitioner - Obstetrics/Gynecology 7113277195 Reassigns benefits to 2 organizations
I20240924004075 OK Practitioner - Obstetrics/Gynecology 7113277195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Florida State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Variety Care, Inc.Group PAC ID 1557260007, shared by 23 NPIs, 101 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians

Practice addresses (Care Compare)

1025 Straka Ter
Oklahoma City, OK 73139-2544
Phone (405) 632-6688

825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as apm
Quality
86.23
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc Current Accepting new patients
University of Tennessee CurrentSince Jul 1, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Aug 9, 2024 Accepting new patients
University Health System, Inc Obstetrics & Gynecology CurrentSince Jul 12, 2021 Accepting new patients
University Health System Inc CurrentSince Jul 12, 2021 Accepting new patients
Ou Health Partners, Inc CurrentSince Aug 9, 2024 Accepting new patients
University of Tennessee CurrentSince Jul 1, 2021 Accepting new patients
Ou Medicine Inc. Past Accepting new patients
Variety Care, Inc. Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Family Medicine West PLLC PastSince Jul 30, 2018 Accepting new patients

Locations

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

825 NE 10th St
Ste 3C
Oklahoma City, OK 73104
Phone (405) 271-5239

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

1928 Alcoa Hwy
Ste 127
Knoxville, TN 37920
Phone (865) 305-8368

1924 Alcoa Hwy
#U67
Knoxville, TN 37920
Phone (865) 305-9350

1928 Alcoa Hwy
Ste 300
Knoxville, TN 37920
Phone (615) 637-6392

Interoperability endpoints

  • Direct secure messaging: cki9638@yourcarecommunity.org

Organizations & group practices 11

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1649682147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST STE 3C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 NE 10TH ST STE 3C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045417",
            "telephone_number": "405-271-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNEAR",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OK",
            "license": "43170",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "57623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.