Individual provider Active NPI

Kristina Marianna Kelvy

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1871112946
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
325355 Issued in NY
Practice address
8900 Van Wyck Expressway
Department of Family Medicine
Jamaica, NY 11418
Phone
(718) 206-6919
NPI assigned
Apr 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 325355 NY Primary

Addresses

Primary practice location

8900 Van Wyck Expressway
Department of Family Medicine
Jamaica, NY 11418

Mailing address

6 Barbary LN
Columbus, NJ 08022-2309
Phone (609) 462-8937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231027003359 NY Practitioner - Family Practice 0941656896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians

Practice addresses (Care Compare)

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
82.16
Promoting interoperability
79
Improvement activities
40
Cost
75.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Sep 18, 2023 Accepting new patients
Jamaica Hospital CurrentSince Sep 18, 2023 Accepting new patients
Flushing Hospital Medical Center CurrentSince Sep 18, 2023 Accepting new patients
Jamaica Hospital CurrentSince Sep 18, 2023 Accepting new patients
Jamaica Hospital Medical Center Past Accepting new patients
Jamaica Hospital Past Accepting new patients

Locations

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

14601 45th Ave
Ste 310
Flushing, NY 11355
Phone (718) 670-5468

80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

8900 Van Wyck Expy
Richmond Hill, NY 11418
Phone (718) 206-6088

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: kkelvy91274@direct.medisys.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1871112946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BARBARY LN",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080222309",
            "telephone_number": "609-462-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 VAN WYCK EXPRESSWAY",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-206-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELVY",
        "first_name": "KRISTINA",
        "middle_name": "MARIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "325355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.