Douglas Martin Kelling, D.O.

Primary specialty

Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X

License

0527996 Issued in KS

Practice address

8919 Parallel Pkwy
Ste 121
Kansas City, KS 66112

Phone

(913) 596-7230

Fax

(913) 596-7228

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment NPD
• Manual Therapy Center, LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Independence, MO
  • NPI 1437194925
  NPD Authorized official
• Unc Physicians Network LLC

  • General Practice Physician
  • Morrisville, NC
  • NPI 1558786830
  NPD
• Miami County Medical Center Inc.

  • Anesthesiology Physician
  • Paola, KS
  • NPI 1407603277
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1679503098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY STE 121",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661121655",
            "telephone_number": "913-596-7230",
            "fax_number": "913-596-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 PARALLEL PKWY",
            "address_2": "STE 121",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "66112",
            "telephone_number": "913-596-7230",
            "fax_number": "913-596-7228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 W Eisenhower Rd",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "KS",
            "postal_code": "660432215",
            "country_code": "US",
            "telephone_number": "913-297-2299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N 113th Ter",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661093786",
            "country_code": "US",
            "telephone_number": "913-400-7006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8909 Parallel Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661121689",
            "country_code": "US",
            "telephone_number": "913-596-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7850 Freeman Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661122133",
            "country_code": "US",
            "telephone_number": "913-334-3666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLING",
        "first_name": "DOUGLAS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "R1H68",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "R1H68",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "KS",
            "license": "0527996",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "KS",
            "license": "0527996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100167660C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P01393087",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00812188",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679503098",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daria Kellar, FNP-C
• Alan Mark Keller, DNAP
• Jessica Jade Keller, MD
• Baylen Kelley, DPT, PT
• Lisa S Kelley, CCC-SLP
• Matthew Kelling, DO
• Brendan Sean Kelly, DO
• Katie Subarna Kelly, MD
• Kelsie A Kelly, MD
• Debra Jean Kelsh, M.D.

• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Undersea and Hyperbaric Medicine (Emergency Medicine) Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.