NPIMap

Individual provider Active NPI

Quinton S Kelly, M.D.

  • Vascular & Interventional Radiology Physician
  • Lincoln, NE
National Provider Identifier
1760624993
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
30624 Issued in NE
Practice address
7601 Pioneers Blvd
Lincoln, NE 68506
Phone
(402) 484-6677
Fax
(402) 484-4476
NPI assigned
Apr 2, 2009
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101257898 VA
Vascular & Interventional Radiology Physician 2085R0204X 30624 NE Primary

Addresses

Primary practice location

7601 Pioneers Blvd
Lincoln, NE 68506

Mailing address

7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180215001484 NE Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 7315253408 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phelps Memorial Health CenterGroup PAC ID 9931011947, shared by 4 NPIs, 35 clinicians
Madonna Rehabilitation HospitalGroup PAC ID 0446164081, 92 clinicians
Advanced Medical Imaging LLCGroup PAC ID 0840265773, 38 clinicians
Radiology Associates PCGroup PAC ID 5698735181, 33 clinicians

Practice addresses (Care Compare)

1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211

5401 S St
Lincoln, NE 68506-2150
Phone (402) 489-7102

7601 Pioneers Blvd
Lincoln, NE 68506-4675
Phone (402) 484-6677

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.5 of 100Reported as group
Quality
100
Improvement activities
40
Cost
35

Merit-based Incentive Payment System (MIPS)

Final score
89.57 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.22

Merit-based Incentive Payment System (MIPS)

Final score
92.2 of 100Reported as group
Quality
88.55
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Community Health Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Henderson Health Care Services, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Madonna Rehabilitation Hospital CurrentSince Oct 1, 2025 Accepting new patients
Advanced Medical Imaging, LLC Vascular & Interventional Radiology CurrentSince Mar 1, 2018 Accepting new patients
Jefferson Community Health Center, Inc. Current Accepting new patients
Fillmore County Hospital CurrentSince Jul 10, 2018 Accepting new patients
Phelps Memorial Health Center Current Accepting new patients
Fillmore County Hospital Current Accepting new patients
Phelps Memorial Health Center CurrentSince Jun 1, 2018 Accepting new patients
Phelps Memorial Health Center CurrentSince Jun 1, 2018 Accepting new patients
Jefferson Community Health Center Inc CurrentSince Mar 1, 2022 Accepting new patients
Appomattox Imaging LLC Past Accepting new patients

Locations

2200 H St
Fairbury, NE 68352
Phone (402) 729-3351

2200 H St
#277
Fairbury, NE 68352
Phone (402) 729-3351

1900 F St
Geneva, NE 68361
Phone (402) 759-3167

1621 Front St
Henderson, NE 68371
Phone (402) 723-4445

1215 Tibbals St
Holdrege, NE 68949
Phone (308) 995-2211

5401 South St
Lincoln, NE 68506
Phone (402) 413-3000

7555 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 261-1085

7601 Pioneers Blvd
Lincoln, NE 68506
Phone (402) 484-4475

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 5

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": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1760624993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 PIONEERS BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685064675",
            "telephone_number": "402-484-6677",
            "fax_number": "402-484-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 PIONEERS BLVD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-484-6677",
            "fax_number": "402-484-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "QUINTON",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-02",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101257898",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NE",
            "license": "30624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.