John T Kelley, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-18671 Issued in IA

Practice address

269 N 1St Ave
Iowa City, IA 52245-3645

Phone

(319) 351-6852

Fax

(319) 351-2025

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

80.02 of 100Reported as group

Quality

75.68

Promoting interoperability

78

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: johnkelley@mic.allscriptsdirect.net

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.

• Mercy Hospital, Iowa City, Iowa

  dba Mercy Hospital

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1982664124
  NPD

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1871567131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-351-6852",
            "fax_number": "319-351-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N 1ST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453645",
            "telephone_number": "319-351-6852",
            "fax_number": "319-351-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2769 Heartland Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Coralville",
            "state": "IA",
            "postal_code": "522412732",
            "country_code": "US",
            "telephone_number": "319-887-2900",
            "fax_number": "319-887-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-18671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159277",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "03090",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James J Kellen, CRNA
• William Sean Kellenberger, RRT
• Amber Marei Kelley, PHARMD
• Bray H Kelley, PA-C
• Carissa Marie Kelley, ARNP
• Gregory Thomas Kelly, PA
• Michael Walter Kelly, PHARMD
• Steven Michael Kelly, DDS, MS
• Danielle Mr Kelsay, M.A., CCC-A
• Adam Judd Kemp, MD

• Internal Medicine Physician in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.