Individual provider Active NPI

James R Kelly, M.D.

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1659361848
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
197045 Issued in NY
Practice address
110 E 60TH St RM 602
New York, NY 10022-1811
Phone
(212) 808-4888
Fax
(212) 808-4999
NPI assigned
Oct 27, 2005
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 197045 NY Primary

Addresses

Primary practice location

110 E 60TH St RM 602
New York, NY 10022-1811

Mailing address

110 E 60TH St RM 602
New York, NY 10022-1811
Phone (212) 808-4888

Other identifiers 1

IdentifierTypeStateIssuer
01761715MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040827000325 NY Practitioner - Ophthalmology 6002881679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
JS Weill Medical College, Cornell University, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr James R Kelly M D P C.Group PAC ID 8628034840, 2 clinicians

Practice addresses (Care Compare)

1055 Franklin Ave
Garden City, NY 11530-2903
Phone (516) 222-5555

110 E 60TH St
New York, NY 10022-1811
Phone (212) 808-4888

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
197045NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr James R Kelly M D P C Ophthalmology CurrentSince Feb 10, 2004 Accepting new patients

Locations

1055 Franklin Ave
Ste 100
Garden City, NY 11530
Phone (516) 222-5555

901 Stewart Ave
Ste 255
Garden City, NY 11530
Phone (516) 222-5555

110 E 60th St
Rm 602
New York, NY 10022
Phone (212) 808-4888

160 E 56th St
Fl 9
New York, NY 10022
Phone (212) 758-3838

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1659361848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221811",
            "telephone_number": "212-808-4888",
            "fax_number": "212-808-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 602",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221811",
            "telephone_number": "212-808-4888",
            "fax_number": "212-808-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "197045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.