Erika W Kelly, DO
Individual provider Active NPI Internal Medicine Physician · Russell Springs, KY
NPI 1679934558 · NPPES record last updated Jul 18, 2023
Key facts
- NPI
- 1679934558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 04297 (KY)
- Practice address
- 404 Steve Drive
Russell Springs, KY 42642-4622 - Phone
- (270) 866-3161
- Fax
- (270) 866-3163
- NPI assigned
- Mar 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lincoln Memorial University Medical Department, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apogee Medical Group Kentucky PSC
Practice addresses (Care Compare)
305 Langdon St
Somerset, KY 42503-2750
Phone (606) 451-2994
Hospital & facility affiliations
- Lake Cumberland Regional Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181228000983 | KY | Practitioner - Internal Medicine | 2264777960 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04297 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cumberland Family Medical Center Inc | Current | Accepting new patients | |
| Cumberland Family Medical Center Inc | Current |
Accepting new patients | |
| Cogent Healthcare of Kentucky, PSC | Internal Medicine | Current |
Accepting new patients |
| Apogee Medical Group Kentucky PSC | Current |
Accepting new patients | |
| Lake Cumberland Regional Hospital LLC | Past | Accepting new patients |
Locations
360 Keen St
Burkesville, KY 42717
Phone (270) 864-1472
150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773
1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000
404 Steve Dr
Russell Springs, KY 42642
Phone (270) 866-3161
305 Langdon St
Somerset, KY 42503
Phone (606) 451-2994
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04297 | KY | Yes |
Addresses
Primary practice location
404 Steve Drive
Russell Springs, KY 42642-4622
Mailing address
PO Box 1080
Burkesville, KY 42717-1080
Phone (270) 858-6655
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14562084 | Other | CAQH | |
| 7100584270 | Medicaid | KY |
Other providers in Russell Springs, KY
- John Kilgallin M.D.
- Amber Nicole Johnson
- Dalene Joy Jones
- Madyson Jones
- Taylor Jones
- Taylor Keltner
- Kentucky Breast Care
- Kid Steps Inc
- Della M Kincaid
- Alisha A Knight
All providers in Russell Springs, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.