DR. MICHAEL D KELLY D.O. MBA NPI 1023124385

NPI Information

NPI: 1023124385
Provider Name: DR. MICHAEL D KELLY, D.O., MBA
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1125 CYPRESS STATION DR STE C
HOUSTON, TX
ZIP 77090
Phone: (832) 602-2030
Get Directions

DR. Michael D Kelly, D.O., MBA is an obstetrics gynecology in Houston, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Michael D Kelly, D.O., MBA NPI is 1023124385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1125 CYPRESS STATION DR STE C
HOUSTON, TX
ZIP 77090-055
Phone: (832) 602-2030
Fax: (281) 205-4659

The NPI 1023124385 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 3/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	N4515	TEXAS	No
2	207VX0000X	Obstetrics & Gynecology	Obstetrics	N4515	TEXAS	No
3	207V00000X	Obstetrics & Gynecology		N4515	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TPI283232102	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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