Individual provider Active NPI

Elizabeth A Kelly, M.D.

  • Obstetrics & Gynecology Physician
  • Cincinnati, OH
National Provider Identifier
1740218734
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-062729 Issued in OH
Practice address
234 Goodman St
Cincinnati, OH 45219-2364
Phone
(513) 584-4081
Fax
(513) 584-2579
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35-062729 OH Primary
Gynecology Physician 207VG0400X 35-062729 OH
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 35-062729 OH
Obstetrics Physician 207VX0000X 35-062729 OH
Obstetrics & Gynecology Physician 207V00000X 37857 KY
Critical Care Medicine (Obstetrics & Gynecology) Physician 207VC0200X 37857 KY
Gynecology Physician 207VG0400X 37857 KY
Obstetrics Physician 207VX0000X 37857 KY

Addresses

Primary practice location

234 Goodman St
Cincinnati, OH 45219-2364

Mailing address

2830 Victory Pkwy
Suite 140
Cincinnati, OH 45206-1785
Phone (513) 245-3113

Other identifiers 2

IdentifierTypeStateIssuer
0871123MedicaidOH
64936644MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040826001120 OH Practitioner - Obstetrics/Gynecology 2769378892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Cincinnati College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone (513) 475-7855

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-062729OHMDObstetrics & Gynecology Physician
37857KYMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City of Cincinnati Current Accepting new patients
City of Cincinnati CurrentSince May 1, 1995 Accepting new patients
University of Cincinnati Physicians Company, LLC Obstetrics & Gynecology CurrentSince Dec 1, 2011 Accepting new patients
City of Cincinnati - Board of Health CurrentSince May 1, 1995 Accepting new patients
City of Cincinnati Current Accepting new patients
City of Cincinnati CurrentSince Jul 22, 2004 Accepting new patients
University of Cincinnati Medical Center, LLC Current Accepting new patients
Greater Cincinnati Perinatal Associates, LLC Obstetrics & Gynecology Past Accepting new patients
University of Cincinnati Medical Center, LLC Past Accepting new patients

Locations

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

5818 Madison Rd
Cincinnati, OH 45227
Phone (513) 271-6089

2830 Victory Pkwy
Cincinnati, OH 45206
Phone (513) 245-3335

3590 Lucille Dr
Cincinnati, OH 45213
Phone (513) 475-7630

1525 Elm St
Cincinnati, OH 45202
Phone (513) 357-7308

2750 Beekman St
Cincinnati, OH 45225
Phone (513) 352-3192

3130 Highland Ave
Cincinnati, OH 45219
Phone (513) 584-4061

2830 Victory Pkwy
Ste 140
Cincinnati, OH 45206
Phone (513) 245-3113

3917 Spring Grove Ave
Cincinnati, OH 45223
Phone (513) 357-7421

5275 Winneste Ave
Cincinnati, OH 45232
Phone (513) 242-1033

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3101 Burnet Ave
Cincinnati, OH 45229
Phone (513) 357-7289

70 Damon Rd
Cincinnati, OH 45218
Phone (513) 605-1000

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

Interoperability endpoints

  • Direct secure messaging: ekelly12984@direct.uchealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389052800000",
    "number": "1740218734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 VICTORY PKWY",
            "address_2": "SUITE 140",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452061785",
            "telephone_number": "513-245-3113",
            "fax_number": "513-245-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 GOODMAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192364",
            "telephone_number": "513-584-4081",
            "fax_number": "513-584-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2014-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-062729",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35-062729",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "OH",
            "license": "35-062729",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "35-062729",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "37857",
            "primary": false
        },
        {
            "code": "207VC0200X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Critical Care Medicine",
            "state": "KY",
            "license": "37857",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "KY",
            "license": "37857",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "KY",
            "license": "37857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0871123",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64936644",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.