Virginia Ellen Kelleher, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

01025382A Issued in IN

Practice address

3920 W 166TH St
Westfield, IN 46074-9628

Phone

(317) 867-5833

NPI assigned

Nov 1, 2010

Last updated

Nov 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1851691216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W 166TH ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749628",
            "telephone_number": "317-867-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W 166TH ST",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460749628",
            "telephone_number": "317-867-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "VIRGINIA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01025382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vimal Kanzariya
• Sydney Kastelitz, DDS
• Sukhpal Kaur, MSN, APRN, FNP-C
• Lauren Ashley Kays
• Marci Kellar, PHARMD
• Kristina Rae Keller, P.T.
• Lindsea Kelley, LMHC
• Emma Kellison
• Angelina Noelle Kelly
• Cassandra Nicole Kelly, MD

• Surgery Physician in Westfield, IN
• Providers in Westfield, IN by specialty
• Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.