NPIMap

Individual provider Active NPI

Cecily Hostrup Kelly, MD

  • Family Medicine Physician
  • New Braunfels, TX
National Provider Identifier
1881887545
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N5766 Issued in TX
Practice address
794 Generations Ste 100
New Braunfels, TX 78130-0058
Phone
(830) 214-6411
Fax
(830) 626-8800
NPI assigned
Aug 24, 2007
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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 N5766 TX Primary

Addresses

Primary practice location

794 Generations Ste 100
New Braunfels, TX 78130-0058

Mailing address

794 Generations Ste 100
New Braunfels, TX 78130-0058
Phone (830) 214-6411

Other identifiers 1

IdentifierTypeStateIssuer
2151532-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000088 TX Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 6305960501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

794 Generations Dr
Suite 100
New Braunfels, TX 78130-0058
Phone (830) 214-6411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
90
Improvement activities
40
Cost
66.51

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
C Kelly Family Clinic, PA Family Medicine CurrentSince Apr 30, 2003 Accepting new patients

Locations

794 Generations Dr
Ste 100
New Braunfels, TX 78130
Phone (210) 985-8572

Organizations & group practices 1

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.

Hospital & facility affiliations 12

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1881887545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 GENERATIONS STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300058",
            "telephone_number": "830-214-6411",
            "fax_number": "830-626-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 GENERATIONS STE 100",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300058",
            "telephone_number": "830-214-6411",
            "fax_number": "830-626-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "CECILY",
        "middle_name": "HOSTRUP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N5766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2151532-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.