Individual provider Active NPI

Kelly Jean Darmody, M.D.

  • Internal Medicine Physician
  • West Bend, WI
National Provider Identifier
1851616627
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5685920 Issued in WI
Practice address
1421 W Washington St
West Bend, WI 53095-2439
Phone
(262) 421-5135
Fax
(414) 488-1407
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5685920 WI Primary
Internal Medicine Physician 207R00000X 56859 WI

Addresses

Primary practice location

1421 W Washington St
West Bend, WI 53095-2439

Mailing address

1421 W Washington St
West Bend, WI 53095-2439
Phone (262) 421-5135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20130812000734 WI Practitioner - Internal Medicine 7315189859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
18.09 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
60.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56859WIMDInternal Medicine Physician
5685920WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geiger Medical, LLC CurrentSince Apr 1, 2020 Accepting new patients
Kelly Darmody, LLC Internal Medicine CurrentSince Mar 9, 2020 Accepting new patients

Locations

15430 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 235-3115

15430 W Capitol Dr
Ste 200
Brookfield, WI 53005

W63N545 Hanover Ave
Cedarburg, WI 53012
Phone (262) 421-5133

1421 W Washington St
West Bend, WI 53095
Phone (262) 421-5135

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lily Hospice LLCBrookfield, WI, CCN 521615 Hospice Contracted Managing Employee (10%) Jul 15, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1851616627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 W WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952439",
            "telephone_number": "262-421-5135",
            "fax_number": "414-488-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 W WASHINGTON ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530952439",
            "telephone_number": "262-421-5135",
            "fax_number": "414-488-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARMODY",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "5685920",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "56859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.