Keli Anne Donnelly, D.O.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OS016639 Issued in PA

Practice address

931 E Haverford Rd
Suite 200
Bryn Mawr, PA 19010-3838

Phone

(610) 520-6170

Fax

(610) 520-6174

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

96.6 of 100Reported as group

Promoting interoperability

96

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelidonnelly@po.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.

• Premier Orthopaedic and Sports Medicine Associates, LTD

  • Orthopaedic Surgery Physician
  • Newtown Square, PA
  • NPI 1215987243

  Sports Medicine

  Medicare reassignment NPD
• Premier Orthopaedic and Sports Medicine Associates LTD

  • Durable Medical Equipment & Medical Supplies
  • Exton, PA
  • NPI 1497485080
  NPD

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1891016168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD",
            "address_2": "SUITE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-520-6170",
            "fax_number": "610-520-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 E HAVERFORD RD",
            "address_2": "SUITE 200",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103838",
            "telephone_number": "610-520-6170",
            "fax_number": "610-520-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "KELI",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS016639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Stanko Dodson, MD
• Christopher Cloyd Dodson, MD
• Lorraine Dohrmann, MSW, LCSW CCTP, CCAP
• Dolce Vita Nutrition
• Angela Helene Lenzo Donahue
• Mari Rachel Donnelly, MS
• Caroline Jane Donovan
• Catherine Michelle Dorazio, MBA, RDN
• Lacey M Dorward, CRNP
• Suzanne Catherine Dougherty, D.P.T.

• Sports Medicine (Family Medicine) Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.