Kellyn Suzanne Rielly, D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

Q9238 Issued in TX

Practice address

17183 I 45 S Ste 610
Shenandoah, TX 77385-3315

Phone

(281) 364-9898

Fax

(281) 292-0400

NPI assigned

Apr 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2019 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: kellyn.rielly.1@11541.direct.athenahealth.com
• Direct secure messaging: krielly159382@directhoustonmethodist.org

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.

• Noble Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Irving, TX
  • NPI 1619259553
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1710245535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 610",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853315",
            "telephone_number": "281-364-9898",
            "fax_number": "281-292-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17183 I 45 S STE 610",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773853315",
            "telephone_number": "281-364-9898",
            "fax_number": "281-292-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIELLY",
        "first_name": "KELLYN",
        "middle_name": "SUZANNE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-30",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "Q9238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Anne Richards, ACNP-BC
• John Richardson, MSN, APRN, AGACNP-BC
• Andrea Louise Richter-Werning, MD
• Peter Riedel, D.O.
• Arlene Parada Rieger
• Mark William Riepl, MASTERS
• Paul Rizk, MD
• Ali N Rizvi, MD
• Dorothy J Roach, M.D.
• Lisa Elizabeth Roach, OD

• Obstetrics & Gynecology Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.