Casey Kelley, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

125053132 Issued in IL

Practice address

1732 W Hubbard St Ste 2a
Chicago, IL 60622-6271

Phone

(773) 675-1400

Fax

(773) 598-6616

NPI assigned

May 27, 2009

Last updated

Oct 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Casey Smith Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 18, 2014 through Mar 18, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Wellsmith PLLC

  dba Case Integrative Health

  • Clinic/Center
  • Chicago, IL
  • NPI 1477012458
  NPD Authorized official
• Karen Meier, Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1417287087
  NPD (past)
• Michigan Avenue Primary Care, S.C.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1013239672
  NPD (past)
• Wholehealth Chicago-3

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1487722666
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1942435573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221404",
            "telephone_number": "773-675-1400",
            "fax_number": "773-598-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 W HUBBARD ST STE 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606226271",
            "telephone_number": "773-675-1400",
            "fax_number": "773-598-6616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "908 N Elm St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213637",
            "country_code": "US",
            "telephone_number": "773-675-1400",
            "fax_number": "773-598-6616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "CASEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125053132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASEY",
            "last_name": "SMITH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kelley Oldham Counseling Group
• Mikale Kelley-Ross
• Abbie Kelley
• Anisa Kelley, MD
• Anthony Kelley, DC
• Chelsea M Kelley, LCSW
• Cody Kelley, PA-C
• Courtney N Kelley
• Daniel Kelley, MD
• Daniel G Kelley

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.