Sean Patrick Kelleher, M.D.

Primary specialty

Pediatric Radiology PhysicianTaxonomy code 2085P0229X

License

35.133516 Issued in OH

Practice address

1 Childrens PLZ
Dayton, OH 45404-1873

Phone

(937) 641-3888

NPI assigned

Mar 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Diagnostic Radiology

Education

Toledo Medical College, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dayton Pediatric Imaging IncGroup PAC ID 8224136601, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Dayton Childrens Hospital Hospital, Dayton, OH, CCN 363306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skelleher93561@direct.metrohealth.org

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.

• Dayton Pediatric Imaging Inc

  • Pediatric Radiology Physician
  • Dayton, OH
  • NPI 1598747560
  Medicare reassignment Care Compare group NPD
• Shriners Hospitals for Children

  • Plastic and Reconstructive Surgery Physician
  • Dayton, OH
  • NPI 1568809358
  Medicare reassignment NPD
• Shriners Hospitals for Children

  • Anesthesiology Physician
  • Dayton, OH
  • NPI 1235627480
  NPD
• The Metrohealth System

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD
• Shriners Hospitals for Children

  • Clinic/Center
  • Aiea, HI
  • NPI 1568299857
  NPD

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

• Dayton Children'S Hospital

  • Children's Hospital
  • Miamisburg, OH
  • NPI 1366994584
  Care Compare affiliation
• Dayton Children'S Hospital

  • Children's Hospital
  • Dayton, OH
  • NPI 1457379448
  Care Compare affiliation

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1871835926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101",
            "telephone_number": "419-251-1395",
            "fax_number": "419-242-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CHILDRENS PLZ",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454041873",
            "telephone_number": "937-641-3888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436047101",
            "country_code": "US",
            "telephone_number": "419-251-1395",
            "fax_number": "419-242-9806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35.133516",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.133516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chassity Kendal Keeton
• Preston Keiffer
• Robert D Keighley, D.O.
• Kay Lorraine Kelbley, I.0008635-SUPV
• Brandy Rene'E Kellar
• Tiffany Keller-Hale, RN
• Christina Keller
• Christy Keller
• Heidi M Keller, LPN
• Heidi Marie Keller

• Pediatric Radiology Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Pediatric Radiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.
• 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.