Individual provider Active NPI

Scott Douglas Kelly, M.D.

  • Ophthalmology Physician
  • Austin, TX
National Provider Identifier
1811126105
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P2276 Issued in TX
Practice address
2610 S Ih 35
Austin, TX 78704-5703
Phone
(713) 791-1414
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 532715 TX
Ophthalmology Physician 207W00000X P2276 TX Primary

Addresses

Primary practice location

2610 S Ih 35
Austin, TX 78704-5703

Mailing address

2610 S Ih 35
Austin, TX 78704-5703
Phone (713) 791-1414

Other identifiers 1

IdentifierTypeStateIssuer
321067601MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130711000501 TX Practitioner - Ophthalmology 7517115512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howerton Eye Clinic, PLLCGroup PAC ID 5890850549, 5 clinicians

Practice addresses (Care Compare)

2610 S Ih
Suite 35
Austin, TX 78704-5703
Phone (512) 443-9715

5625 Eiger Rd
Suite 100
Austin, TX 78735-8978
Phone (512) 443-9715

Merit-based Incentive Payment System (MIPS)

Final score
88.03 of 100Reported as group
Quality
88.04
Improvement activities
40
Cost
76.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery278

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
532715TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howerton Eye Clinic PLLC Ophthalmology CurrentSince Jul 10, 2013 Accepting new patients
Howerton Eye Clinic, PLLC Ophthalmology CurrentSince Jul 10, 2013 Accepting new patients

Locations

2610 S Interstate 35
Austin, TX 78704
Phone (512) 443-9715

5625 Eiger Rd
Ste 100
Austin, TX 78735
Phone (501) 651-2201

4282 S FM 1626
Ste 200
Kyle, TX 78640
Phone (512) 443-9715

5401 FM 1626
Ste 365
Kyle, TX 78640
Phone (512) 443-9715

Interoperability endpoints

  • Direct secure messaging: scott.kelly.p1@direct.howerton.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811126105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045703",
            "telephone_number": "713-791-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S IH 35",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787045703",
            "telephone_number": "713-791-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SCOTT",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "532715",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P2276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321067601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.