John J Kelly III, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

C10004657 Issued in DE

Practice address

One Centurian Drive
Suite 200
Newark, DE 19713-4168

Phone

(302) 366-8600

Fax

(302) 366-5646

NPI assigned

Jul 7, 2006

Last updated

Feb 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Cardiovascular Disease (Cardiology)

Education

Jefferson Medical College of Thomas Jefferson University, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Physicians, LLCGroup PAC ID 3476441841, 46 clinicians

Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christiana Hospital Hospital, Newark, DE, CCN 080001
• Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.kelly.p3@direct.chv.nextgenshare.com
• Direct secure messaging: johnkelly@cppa.allscriptsdirect.net

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.

• Cardiology Physicians, LLC

  dba Cvpde

  • Cardiovascular Disease Physician
  • Newark, DE
  • NPI 1952338212
  Medicare reassignment Care Compare group NPD
• Cardio-Kinetics, Inc.

  • Cardiac Rehabilitation Clinic/Center
  • Newark, DE
  • NPI 1164571899

  Cardiovascular Disease

  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Pathology

  • Anatomic Pathology Physician
  • Newark, DE
  • NPI 1245674993

  Cardiovascular Disease

  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Pmri

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
  • NPI 1770568107
  Medicare reassignment NPD
• Christiana Care Health Services, Inc

  dba CCHS Cardiology

  • Interventional Cardiology Physician
  • Wilmington, DE
  • NPI 1902876394

  Cardiovascular Disease

  NPD
• Christiana Care Health Services Inc

  dba CCHS Concord - Neurology

  • Neurology Physician
  • Chadds Ford, PA
  • NPI 1881228484
  NPD
• Delaware Diagnostic Services, Inc.

  • Diagnostic Ultrasound Physician
  • Wilmington, DE
  • NPI 1164445169
  NPD (past)
• Regional Medical Group LLC

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1891048179

  Cardiovascular Disease

  NPD (past)

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

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation
• Christiana Care Health Services, Inc.

  dba Christiana Care

  • General Acute Care Hospital
  • Wilmington, DE
  • NPI 1134194038
  Care Compare affiliation
• Union Hospital of Cecil County

  • General Acute Care Hospital
  • Elkton, MD
  • NPI 1376523357
  Care Compare affiliation

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1659303634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE CENTURIAN DRIVE",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134168",
            "telephone_number": "302-366-8600",
            "fax_number": "302-366-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE CENTURIAN DRIVE",
            "address_2": "SUITE 200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134168",
            "telephone_number": "302-366-8600",
            "fax_number": "302-366-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DE",
            "license": "C10004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L. Kelly-McCoy, PAC
• Annmarie Kelly, PA-C
• Christine Elizabeth Anne Kelly, M.D.
• Daniel Patrick Kelly
• Delaney Kelly
• Leon C Kelly, MS
• Lisa M Kelly, CRNP
• Madeline Kelly
• Michelle Kristin Burke Kelly, PA-C
• Miranda Kelly

• Cardiovascular Disease Physician in Newark, DE
• Providers in Newark, DE by specialty
• Cardiovascular Disease Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.

Verify at the official NPI Registry.