Amy R Kelley, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-06-2106 Issued in OH

Practice address

770 Jasonway Ave
Suite 1-a
Columbus, OH 43214-4333

Phone

(614) 459-2950

Fax

(614) 459-2975

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Toledo College of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summit Orthopaedic Home Care Home health agency, Grandview Heights, OH, CCN 368154
• Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
• Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
• Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348
• Grant Medical Center Hospital, Columbus, OH, CCN 360017
• James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242
• Doctors Hospital Hospital, Columbus, OH, CCN 360152

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akelley19042@copcp.medicity.net

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.

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment Care Compare group
• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD

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

• Affordable Home Health Care, LLC

  • Home Health Agency
  • Grandview Heights, OH
  • NPI 1861413999
  Care Compare affiliation
• Arthur G James Cancer Hospital and Research Institute

  • Special Hospital
  • Columbus, OH
  • NPI 1124127683
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1255377149
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1467484972
  Care Compare affiliation
• Ohiohealth Corporation

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1710916945

  Hospital

  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Dublin, OH
  • NPI 1801937008
  Care Compare affiliation
• Ohiohealth Corporation

  • General Acute Care Hospital
  • Columbus, OH
  • NPI 1972535052
  Care Compare affiliation
• Trinity Home Health Services

  • Home Health Agency
  • Columbus, OH
  • NPI 1104863927
  Care Compare affiliation

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1659321453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE",
            "address_2": "SUITE 1-A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144333",
            "telephone_number": "614-459-2950",
            "fax_number": "614-459-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE",
            "address_2": "SUITE 1-A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144333",
            "telephone_number": "614-459-2950",
            "fax_number": "614-459-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "AMY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-06-2106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0894055",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tricia Keller
• Cyrus V. Kellermier, MD
• Whitney Frances Kellett, MD, PHD
• Kelley Smith Counseling LLC
• Allyson E Kelley, CNP
• Andrew Kelley, MD
• Brendan J Kelley, MD
• Brianna Kelley
• Cheryce Toshay Kelley
• Curtin G Kelley, M.D.

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.