Richard S Kellett, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

24890 Issued in SC

Practice address

3300 W Montague Ave Ste 222
N Charleston, SC 29418-7916

Phone

(843) 343-4445

Fax

(843) 825-7075

NPI assigned

Jun 30, 2006

Last updated

May 20, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

AnesthesiologyAlso: Addiction Medicine

Education

Medical University of South Carolina College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trident Pain Center LLCGroup PAC ID 7911897269, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trident Pain Center LLC

  • Interventional Pain Medicine Physician
  • N Charleston, SC
  • NPI 1801992961
  Medicare reassignment Care Compare group NPD
• Trident Pain Center LLC

  • Pain Medicine Physician
  • West Columbia, SC
  • NPI 1659915445
  NPD
• Clinical Solutions of Charleston PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, SC
  • NPI 1154388924
  NPD (past)
• Golden Rule Medical Services, Inc

  • Specialist
  • Irmo, SC
  • NPI 1477501708
  NPD (past)
• Palmetto Anesthesia Associates

  • Anesthesiology Physician
  • Greenville, SC
  • NPI 1750336079
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1801825229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVER LANDING DR UNIT 407B",
            "city": "DANIEL ISLAND",
            "state": "SC",
            "postal_code": "294928443",
            "telephone_number": "843-607-6730",
            "fax_number": "843-825-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 W MONTAGUE AVE STE 222",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294187916",
            "telephone_number": "843-343-4445",
            "fax_number": "843-825-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLETT",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "24890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248903",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy D Joyner
• JSS Behavioral Services
• Thomas D Kaelin Jr., DO
• Mitchell S Katz, DDS
• Elizabeth F. Kekacs, APRN, FNP
• Kenneth J Miller, MD, LLC
• Tu Anh Ngoc Khuu, M.D.
• Sola Kim, M.D.
• Sean Tyler Kitch, M.D.
• Amy L Klein

• Anesthesiology Physician in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.