Active NPI
Katherine Kelley
- Trauma Surgery Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- MD471120
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 9
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0086537 | MD | MD | Surgical Critical Care Physician |
| MD471120 | PA | MD | Trauma Surgery Physician |
Practice roles
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
- kkelley350018@direct-sluhn.org
- kkelley1279829@soc.inova.org
- katherinekelley@nmhs.medalliesdirect.net
- 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.
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1881176949
-
- Clinic/Center
- Hagerstown, MD
- NPI 1710854963
-
- Nurse Practitioner
- Hagerstown, MD
- NPI 1205176393
-
- Surgery Physician
- Langhorne, PA
- NPI 1972982361
-
- Emergency Medicine Physician
- Chester, PA
- NPI 1568819084
-
- Family Medicine Physician
- Altoona, PA
- NPI 1396724217
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
Trauma Surgery
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Langhorne, PA
- NPI 1780686931
-
- General Acute Care Hospital
- Sellersville, PA
- NPI 1568459287
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.