Individual provider Active NPI

Katherine Kelley

  • Trauma Surgery Physician
  • Philadelphia, PA
National Provider Identifier
1770926131
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
MD471120 Issued in PA
Practice address
3401 N Broad St
Philadelphia, PA 19140-5103
Phone
(215) 707-3133
NPI assigned
Apr 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 036152534 IL
Surgery Physician 208600000X 036152534 IL
Surgery Physician 208600000X MC-048 GU
Surgery Physician 208600000X 1149 WI
Trauma Surgery Physician 2086S0127X 036152534 IL
Surgical Critical Care Physician 2086S0102X MC-048 GU
Surgical Critical Care Physician 2086S0102X D0086537 MD
Trauma Surgery Physician 2086S0127X MD471120 PA Primary

Addresses

Primary practice location

3401 N Broad St
Philadelphia, PA 19140-5103

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address upmchospitals@upmcdirect.com UPMC
Direct Messaging Address kkelley37975@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, PA, IL, WI, TN, GU, VA, MS9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20190711001229 MD Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8921308990 Reassigns benefits to 3 organizations
I20190723000217 DC Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8921308990 Reassigns benefits to 3 organizations
I20200827001913 PA Practitioner - General Surgery 8921308990 Reassigns benefits to 5 organizations
I20210128002063 IL Practitioner - General SurgeryPractitioner - Other (Physician) 8921308990 Reassigns benefits to 1 organization
I20210611000919 WI Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 8921308990 Reassigns benefits to 1 organization
I20220602000238 TN Practitioner - General Surgery 8921308990
I20221010001303 GU Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8921308990 Reassigns benefits to 1 organization
I20231005002830 VA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 8921308990 Reassigns benefits to 2 organizations
I20241125001757 MS Practitioner - General Surgery 8921308990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Drexel University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

11110 Medical Campus Rd
Suite 143
Hagerstown, MD 21742-6755
Phone (301) 704-4350

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

1201 Langhorne Newtown Rd
Langhorne, PA 19047-1201

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

915 Lawn Ave
Sellersville, PA 18960-1551

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0086537MDMDSurgical Critical Care Physician
MD471120PAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Jan 4, 2026 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jan 4, 2026 Accepting new patients
Meritus Medical Center Inc CurrentSince Aug 5, 2024 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Aug 1, 2022 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Upmc Altoona Regional Health Services, Inc CurrentSince Aug 1, 2020 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Aug 1, 2019 Accepting new patients
Medical Practices of Antietam, LLC Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group Surgery CurrentSince Dec 30, 2025 Accepting new patients
Inova Health Care Services Trauma Surgery CurrentSince Mar 25, 2024 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Urgent Specialty Associates of Mississippi PLLC Surgical Critical Care CurrentSince Nov 1, 2024 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 30, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 30, 2025 Accepting new patients
Guam Healthcare Development Incorporated CurrentSince Mar 1, 2022 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Aug 5, 2024 Accepting new patients
Inova Health Care Services CurrentSince Mar 25, 2024 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jun 18, 2024 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Aug 5, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Upmc Altoona Regional Health Services, Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Aug 5, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Feb 10, 2020 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 22, 2021 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jun 22, 2021 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations (25 of 44)

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

305 W Jackson St
Ste 206
Carbondale, IL 62901
Phone (618) 457-3006

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

11110 Medical Campus Rd
Ste 143
Hagerstown, MD 21742
Phone (301) 714-4175

11110 Medical Campus Rd
Ste 147
Hagerstown, MD 21742
Phone (240) 313-9600

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

1414 9th Ave
Altoona, PA 16602
Phone (814) 949-7621

3565 Route 611
Ste 300
Bartonsville, PA 18321
Phone (272) 212-0105

1530 8th Ave
Bethlehem, PA 18018
Phone (215) 662-4554

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

634 E Broad St
Bethlehem, PA 18018
Phone (610) 625-4885

1 Medical Center Blvd
Ste 233
Chester, PA 19013
Phone (610) 499-0400

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

2200 St Lukes Blvd
Ste 230
Easton, PA 18045
Phone (484) 503-2500

701 Ostrum St
Ste 202
Fountain Hill, PA 18015
Phone (484) 526-2000

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

701 Ostrum St
Fountain Hill, PA 18015
Phone (215) 707-5067

Interoperability endpoints

  • Direct secure messaging: kkelley350018@direct-sluhn.org
  • Direct secure messaging: kkelley1279829@soc.inova.org
  • Direct secure messaging: katherinekelley@nmhs.medalliesdirect.net
  • Direct secure messaging: kkelley37975@sih.direct-ci.com

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 3

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1770926131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405103",
            "telephone_number": "215-707-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IL",
            "license": "036152534",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036152534",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GU",
            "license": "MC-048",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "1149",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IL",
            "license": "036152534",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "GU",
            "license": "MC-048",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MD",
            "license": "D0086537",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "PA",
            "license": "MD471120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "upmchospitals@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkelley37975@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "305 W Jackson St Ste 206",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.