Daniel R Kelly, MD
Individual provider Active NPI Family Medicine Physician · Radford, VA
NPI 1922089556 · NPPES record last updated Apr 23, 2026
Key facts
- NPI
- 1922089556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101039704 (VA)
- Practice address
- 701 Randolph St Ste 120
Radford, VA 24141-3047 - Phone
- (540) 731-3200
- Fax
- (540) 639-1048
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- State University of New York at Buffalo School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carilion Giles Community Hospital
Carilion Healthcare Corporation
Practice addresses (Care Compare)
159 Hartley Way
Pearisburg, VA 24134-2471
Phone (540) 921-6000
416 S Main St
Hillsville, VA 24343-1698
Phone (276) 670-3300
701 Randolph St
Suite 120
Radford, VA 24141-3047
Phone (540) 731-3200
911 E Main St
Floyd, VA 24091-4183
Phone (540) 745-2031
Hospital & facility affiliations
- Amedisys Home Health Care
- Medi Home Health Agency
- Carilion Home Care Services
- Centerwell Home Health
- Enhabit Home Health (Roanoke)
- Carilion New River Valley Medical Center
- Lewisgale Hospital Montgomery
- Carilion Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060926000075 | VA | Practitioner - Family Practice | 4082619051 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039704 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carilion Healthcare Corporation | Current |
Accepting new patients | |
| Carilion Healthcare Corporation | Current |
Accepting new patients | |
| Free Clinic of the New River Valley Inc | Current |
Accepting new patients |
Locations
901 Plantation Rd
Ste 1
Blacksburg, VA 24060
Phone (540) 951-0352
215 Roanoke St
Christiansburg, VA 24073
Phone (540) 381-0820
219 Buchanan St
Pearisburg, VA 24134
Phone (540) 381-0820
701 Randolph St
Ste 120
Radford, VA 24141
Phone (540) 731-2153
213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110
Interoperability endpoints
- dkelly8873@direct.carilionclinic.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101039704 | VA | Yes |
Addresses
Primary practice location
701 Randolph St Ste 120
Radford, VA 24141-3047
Mailing address
213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010299268 | Medicaid | VA | |
| 5623502 | Medicaid | VA |
Other providers in Radford, VA
- Elizabeth Margaret Joslin
- Charles Raeburn Judy
- K -VA -T Food Stores Inc
- Taylor Kaprive
- Kristy Karas
- Justin Kelly
- Scott A Kincaid
- Alicia King
- Elizabeth Ann King
- Thomas Fritz Knisely
All providers in Radford, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.