Melanie KTH Kelly, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5891 Issued in HI

Practice address

2230 Liliha St
Emergency Department
Honolulu, HI 96817-1646

Phone

(808) 547-6387

Fax

(808) 536-5340

NPI assigned

Feb 27, 2006

Last updated

Jun 10, 2008By the provider in NPPES

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

Other identifiers 4

Other names 1

• Dr. Melanie KT Ho Former name

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Daniel K Akaka State Veterans Home

  • Skilled Nursing Facility
  • Kapolei, HI
  • NPI 1588407118

  Corporate Director

  CMS ownership

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.

• Leahi Hospital

  • Nursing Facility/Intermediate Care Facility
  • Honolulu, HI
  • NPI 1558532887
  Medicare reassignment NPD
• Maluhia

  • Nursing Facility/Intermediate Care Facility
  • Honolulu, HI
  • NPI 1235218835
  Medicare reassignment NPD
• Pacific Emergency Physicians LLC

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1447437413
  NPD (past) Authorized official
• Leahi Hospital

  • Nursing Facility/Intermediate Care Facility
  • Honolulu, HI
  • NPI 1548344781
  NPD
• Emergency Medical Care

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1902085863
  NPD (past)
• Emergency Medical Care West

  • Emergency Medicine Physician
  • Ewa Beach, HI
  • NPI 1134327711
  NPD (past)
• Island Medical Consultants, LLC

  • Anesthesiology Physician
  • Honolulu, HI
  • NPI 1881965986
  NPD (past)
• Islands Emergency Medical Service Hawaii, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Honolulu, HI
  • NPI 1154393353
  NPD (past)
• US Med Urgent Care, LLC

  dba US Med Kailua

  • Urgent Care Clinic/Center
  • Kailua, HI
  • NPI 1083071922
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1982670154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6387",
            "fax_number": "808-536-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6387",
            "fax_number": "808-536-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MELANIE",
        "middle_name": "KTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "5891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02441903",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02441914",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02441913",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A008",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "HO",
            "middle_name": "KT",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy Kellner, MD
• Kelly H Takasawa, PSYD LLC
• Kelly Hee Therapy LLC
• Ava Kelly, RBT
• Lili Kelly, MD
• Kelsey Fujinaka PSYD
• Lori Lynn Kelsey-Sakaguchi, M.D.
• Dolly W Kelsey, OTR L, CLT
• Anne Shimoda Kemble Luo, M.D.
• Stephen B. Kemble, M.D.

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.