Matthew William Kelly, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102203766 Issued in VA

Practice address

4910 Valley View Blvd NW
Roanoke, VA 24012-2040

Phone

(540) 265-4210

Fax

(540) 265-4219

NPI assigned

Apr 23, 2012

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Lewis Gale Physicians LLCGroup PAC ID 6507886231, 191 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Roanoke, VA, CCN 497275
• Centerwell Home Health Home health agency, Roanoke, VA, CCN 497429
• Enhabit Home Health (Roanoke) Home health agency, Roanoke, VA, CCN 497608
• Good Samaritan Hospice Inc Hospice, Roanoke, VA, CCN 491510
• Lewisgale Medical Center Hospital, Salem, VA, CCN 490048
• Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
• Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

Merit-based Incentive Payment System (MIPS)

Final score

90.29 of 100Reported as individual

Quality

91.57

Promoting interoperability

100

Improvement activities

40

Cost

76.06

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Lewis Gale Physicians LLC

  • Internal Medicine Physician
  • Salem, VA
  • NPI 1902977705
  Medicare reassignment Care Compare group NPD

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

• Amedisys Home Health of Virginia Sub 2 LLC

  • Home Health Agency
  • Pulaski, VA
  • NPI 1164470738
  Care Compare affiliation
• Carilion Medical Center

  • General Acute Care Hospital
  • Roanoke, VA
  • NPI 1033102942
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Roanoke, VA
  • NPI 1124059688
  Care Compare affiliation
• Eh Home Health of Roanoke, LLC

  • Home Health Agency
  • Roanoke, VA
  • NPI 1083158950
  Care Compare affiliation
• Good Samaritan Hospice, Inc.

  • Community Based Hospice Care Agency
  • Roanoke, VA
  • NPI 1548268923
  Care Compare affiliation
• Lewis-Gale Medical Center, LLC

  • General Acute Care Hospital
  • Salem, VA
  • NPI 1619914785
  Care Compare affiliation
• Montgomery Regional Hospital Inc

  • General Acute Care Hospital
  • Blacksburg, VA
  • NPI 1275570376
  Care Compare affiliation

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1699032060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEALTH PARK DR FL HP2",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274692",
            "telephone_number": "615-373-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 VALLEY VIEW BLVD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122040",
            "telephone_number": "540-265-4210",
            "fax_number": "540-265-4219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MATTHEW",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102203766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MATTHEW.KELLY@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4910 Valley View Blvd NW",
            "city": "Roanoke",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240122040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melanie Marie Kells, BCBA, LBA
• Cameron Kelly
• James A Kelly, M.D.
• Kirsten Kelly
• Kyleana Kelly, LDO
• Peter F Kelly, D.P.M.
• Tyler R Kelly, PTA
• Tracy Lawand Kelso, COTA
• Nicole D. Kemp, APRN
• Tyler Bryce Kemp, PA-C

• Family Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.