Individual provider Active NPI

David Alexander Kelly, M.D.

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1821259722
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
50178 Issued in AZ
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, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150924003032 AZ Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 7214245273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Utah School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

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 100Reported as individual
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
87.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1027
Removal of skin lesions81
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth77
Skin biopsy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50178AZMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bingham Dermatology Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Center for Dermatology, PLLC PastSince Aug 23, 2015 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.