Kevin M Kelly, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

37656 Issued in KY

Practice address

310 Greenview Way
Bowling Green, KY 42103-8767

Phone

(270) 781-3722

Fax

(270) 781-3722

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

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

Internal MedicineAlso: Emergency Medicine, Pediatric Medicine

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T J Samson Community HospitalGroup PAC ID 0648182600, 197 clinicians

Urgent Care Services Southeast PSCGroup PAC ID 0345694766, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• T J Samson Community Hospital Hospital, Glasgow, KY, CCN 180017

Merit-based Incentive Payment System (MIPS)

Final score

86.3 of 100Reported as group

Quality

74.59

Promoting interoperability

100

Improvement activities

40

Cost

68.87

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Urgent Care Services Southeast PSC

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1427831759
  Medicare reassignment Care Compare group NPD
• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865
  Medicare reassignment Care Compare group
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382
  Medicare reassignment NPD
• Zipclinic, PSC

  • Primary Care Clinic/Center
  • Bowling Green, KY
  • NPI 1861873507
  NPD
• Allergy Care Bowling Green Inc

  • Allergy & Immunology Physician
  • Bowling Green, KY
  • NPI 1245371632
  NPD (past)

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

• T J Samson Community Hospital

  • Family Medicine Physician
  • Glasgow, KY
  • NPI 1477609865

  Hospital

  Care Compare affiliation
• T J Samson Community Hospital

  • General Acute Care Hospital
  • Glasgow, KY
  • NPI 1770581894
  Care Compare affiliation

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1730116625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GREENVIEW WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038767",
            "telephone_number": "270-781-3722",
            "fax_number": "270-781-3722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GREENVIEW WAY",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038767",
            "telephone_number": "270-781-3722",
            "fax_number": "270-781-3722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 Andrea St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421045852",
            "country_code": "US",
            "telephone_number": "270-901-3454",
            "fax_number": "270-901-3459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KEVIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "37656",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "37656",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "37656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KO78350",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65937252",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Christine Kelley
• Taylor Payne Kelley, CRNA
• William Eric Kelley, FNP
• Amber Kelly
• Kathleen Kelly
• Michael John Kelly, MS, CCC-SLP
• Paul Daniel Kelsey, M.D.
• Jeannie Kelton, MS
• William C. Kemp, M.D.
• McKenzie Kempf

• Emergency Medicine Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Emergency Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.