Individual provider Active NPI

Elaine Kelly, MD

  • Ophthalmology Physician
  • Hammond, IN
National Provider Identifier
1982264206
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0191235A Issued in IN
Practice address
6850 Hohman Ave
Hammond, IN 46324-1410
Phone
(219) 931-7509
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 125074492 IL
Ophthalmology Physician 207W00000X 0191235A IN Primary

Addresses

Primary practice location

6850 Hohman Ave
Hammond, IN 46324-1410

Mailing address

1650 W Harrison St
Chicago, IL 60612-3800
Phone (312) 942-5000

Other practice location 1

1650 W Harrison St
Chicago, IL 60612-3800
Phone (312) 942-5000

Other practice location 2

9797 Massachusetts St
Crown Point, IN 46307-0278
Phone (219) 736-2200

Other practice location 3

6836 Hohman Ave
Hammond, IN 46324-1499
Phone (219) 937-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20230822001967 IN Practitioner - Ophthalmology 3577898170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Hofstra North Shore - Lij School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Williams Eye Institute PCGroup PAC ID 2860386406, 7 clinicians

Practice addresses (Care Compare)

6850 Hohman Ave
Hammond, IN 46324-1410
Phone (219) 931-7509

9797 Massachusetts St
Crown Point, IN 46307-0278

9797 Massachusetts St
Crown Point, IN 46307-7550
Phone (219) 736-2200

Merit-based Incentive Payment System (MIPS)

Final score
93.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0191235AINMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novamed Surgery Center of Merrillville, LLC CurrentSince Sep 1, 2023 Accepting new patients
Novamed Surgery Center of Merrillville, LLC CurrentSince Sep 1, 2023 Accepting new patients
Williams Eye Institute, PC Ophthalmology CurrentSince Aug 18, 2023 Accepting new patients
Williams Eye Institute, PC Ophthalmology CurrentSince Aug 18, 2023 Accepting new patients

Locations

9797 Massachusetts St
Crown Point, IN 46307
Phone (219) 649-2704

6850 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509

6836 Hohman Ave
Hammond, IN 46324
Phone (219) 931-7509

8514 Broadway
Merrillville, IN 46410
Phone (219) 756-5010

Interoperability endpoints

  • Direct secure messaging: ekelly@williamseye.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1982264206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123800",
            "telephone_number": "312-942-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463241410",
            "telephone_number": "219-931-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123800",
            "country_code": "US",
            "telephone_number": "312-942-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9797 Massachusetts St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463070278",
            "country_code": "US",
            "telephone_number": "219-736-2200",
            "fax_number": "219-736-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6836 Hohman Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463241499",
            "country_code": "US",
            "telephone_number": "219-937-5063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ELAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125074492",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "0191235A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

Verify at the official NPI Registry.