Active NPI
David Alexander Kelly, M.D.
- Plastic Surgery Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 50178
- Practice address
- 14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696 - Phone
- (480) 223-9501
- NPI assigned
- Jun 23, 2008
- Last updated
- Sep 20, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 50178 | AZ | Primary |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 50178 | AZ | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 50178 | AZ |
Addresses
Primary practice location
14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696
Mailing address
14275 N 87TH St Ste 110
Scottsdale, AZ 85260-3696
Phone (480) 223-9501
Other practice location 1
1890 E Florence Blvd Ste 4
Casa Grande, AZ 85122-5642
Phone (480) 905-8485
Other practice location 2
3530 S Val Vista Dr Ste B109
Gilbert, AZ 85297-7318
Phone (480) 905-8485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Utah School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3530 S Val Vista Dr
Suite B109
Gilbert, AZ 85297-7318
Phone (480) 905-8485
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.27 of 100
- Quality
- 86.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 87.29
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1027 |
| Removal of skin lesions | 81 |
| Removal of skin cancer | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 77 |
| Skin biopsy | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50178 | AZ | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bingham Dermatology Group, LLC | Current | Accepting new patients | |
| Center for Dermatology, PLLC | Past | Accepting new patients | |
| English Dermatology PC | Past | Accepting new patients | |
| Scottsdale Center for Sight, PLC | Past | Accepting new patients | |
| Valley Anesthesiology Consultants, Inc. | Past | Accepting new patients |
Locations
2855 E Brown Rd
Ste 22
Mesa, AZ 85213
Phone (480) 625-4538
2855 E Brown Rd
Ste 28
Mesa, AZ 85213
Phone (480) 625-4538
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 6
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568937600000",
"number": "1821259722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14275 N 87TH ST STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603696",
"telephone_number": "480-223-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14275 N 87TH ST STE 110",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603696",
"telephone_number": "480-223-9501"
}
],
"practiceLocations": [
{
"address_1": "1890 E Florence Blvd Ste 4",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225642",
"country_code": "US",
"telephone_number": "480-905-8485",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3530 S Val Vista Dr Ste B109",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852977318",
"country_code": "US",
"telephone_number": "480-905-8485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "DAVID",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-23",
"last_updated": "2019-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "AZ",
"license": "50178",
"primary": true
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "AZ",
"license": "50178",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "AZ",
"license": "50178",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.