Kevin J Kelley, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

KE4069601 Issued in OH

Practice address

4689 Fulton Dr NW
Canton, OH 44718-2379

Phone

(330) 649-9400

Fax

(330) 649-8059

NPI assigned

Jun 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nephrology

Education

Ohio State University College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kidney and Hypertension Consultants IncGroup PAC ID 1951206085, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Canton Dialysis Dialysis facility, Canton, OH, CCN 362866
• DaVita Navarre Dialysis Dialysis facility, Navarre, OH, CCN 362884
• DaVita Dover Community Dialysis Dialysis facility, Dover, OH, CCN 362765
• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Union Hospital Hospital, Dover, OH, CCN 360010
• Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323
• Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
• Mercy Medical Center Hospital, Canton, OH, CCN 360070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: drkelley@kandh.medentdirect.com

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.

• Kidney & Hypertension Consultants, Inc.

  • Nephrology Physician
  • Canton, OH
  • NPI 1770524696
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Isd Renal Inc

  dba Canton Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Canton, OH
  • NPI 1629596267

  Dialysis facility

  Care Compare affiliation Name & address match
• Isd Renal, Inc.

  dba Navarre Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Navarre, OH
  • NPI 1134615651

  Dialysis facility

  Care Compare affiliation Name & address match
• Rancho Dialysis LLC

  dba Dover Community Dialysis

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dover, OH
  • NPI 1225367873

  Dialysis facility

  Care Compare affiliation Name & address match
• Alliance Community Hospital

  • General Acute Care Hospital
  • Alliance, OH
  • NPI 1942385794
  Care Compare affiliation
• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  dba Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation
• Orrville Hospital Foundation

  dba Aultman Orrville Hospital

  • Critical Access Hospital
  • Orrville, OH
  • NPI 1891718375
  Care Compare affiliation
• The Union Hospital Association

  dba Union Hospital

  • Rural Acute Care Hospital
  • Dover, OH
  • NPI 1871606921
  Care Compare affiliation

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1982600979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4689 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182379",
            "telephone_number": "330-649-9400",
            "fax_number": "330-649-8059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4689 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182379",
            "telephone_number": "330-649-9400",
            "fax_number": "330-649-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "KE4069601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2313740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Keim
• Heather Keith, LPC
• Cody Keller, LSW
• Holly Keller
• Jeffery P Keller, CRNA
• Matthew Tyler Kelley
• Patrick Kelley, C.R.N.A.
• Stephen M Kelley, PTA
• Trina Kelley, MSPT
• Erika Kelly, LPN

• Nephrology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.