Russell Kelley, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

04-25022 Issued in KS

Practice address

2101 N Waldron St
Hutchinson, KS 67502-1131

Phone

(620) 669-2500

NPI assigned

Jan 30, 2006

Last updated

Sep 21, 2023By the provider in NPPES

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

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

Dermatology

Education

University of Texas Medical Branch at Galveston, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hutchinson Clinic PA IncGroup PAC ID 5597658492, 130 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hutchinson Regional Medical Center Inc Hospital, Hutchinson, KS, CCN 170020

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: russellkelley@hcpa.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hutchinson Clinic, P.a., Inc.

  • Internal Medicine Physician
  • Hutchinson, KS
  • NPI 1043298474
  Medicare reassignment Care Compare group NPD
• Heartland Radiation Oncology

  • Radiation Oncology Physician
  • Hutchinson, KS
  • NPI 1275512535
  NPD
• Hutchinson Clinic, P.a. Inc.

  • Rural Health Clinic/Center
  • Hutchinson, KS
  • NPI 1902871940
  NPD
• Hutchinson Clinic, P.a., Inc.

  dba Hutchinson Clinic Endoscopy Center

  • Ambulatory Surgical Clinic/Center
  • Hutchinson, KS
  • NPI 1386619682
  NPD
• Hutchinson Clinic, P.a., Inc.

  • Clinical Medical Laboratory
  • Hutchinson, KS
  • NPI 1962477356
  NPD
• Hutchinson Clinic, PA, Inc.

  dba Hutchinson Clinic Diabetes Prevention Program

  • Health Educator
  • Hutchinson, KS
  • NPI 1821639774
  NPD

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

• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1881665727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021197",
            "telephone_number": "620-669-2500",
            "fax_number": "620-694-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N WALDRON ST",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021131",
            "telephone_number": "620-669-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "RUSSELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KS",
            "license": "04-25022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161810 A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "russellkelley@hcpa.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "HUTCHINSON CLINIC, PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2101 N Waldron St",
            "city": "Hutchinson",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675021131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keeler Chiropractic, P.a.
• Keeler Chiropractic, P.a.
• Jay D Keeler, DC
• Jessica Keeton, PHARM D
• Mark Keeton, PHARMD
• Abigail Kelly, DPT
• Courteney C Kelsey, LMFT
• Jeremiah Robert Kempke, MD
• Stefanie M Kempke, M.D.
• Jessica Caye Kennedy, LSCSW

• Dermatology Physician in Hutchinson, KS
• Providers in Hutchinson, KS by specialty
• Dermatology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.