ROBERT E. KELLY M.D. NPI 1396752838

NPI Information

NPI: 1396752838
Provider Name: ROBERT E. KELLY, M.D.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
601 CHILDRENS LN
NORFOLK, VA
ZIP 23507
Phone: (757) 668-7703
Get Directions

Robert E. Kelly, M.D. is a pediatric surgery surgery in Norfolk, VA. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Robert E. Kelly, M.D. NPI is 1396752838. 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:

601 CHILDRENS LN
NORFOLK, VA
ZIP 23507-910
Phone: (757) 668-7703
Fax: (757) 668-8860

The NPI 1396752838 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 8/1/2006 and was last updated on 12/26/2012.

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	2086S0120X	Surgery	Pediatric Surgery	0101050898	VIRGINIA	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	8906998	MEDICAID	NORTH CAROLINA
2	265055	OTHER	VIRGINIA	ANTHEM BCBS
3	311610834	OTHER	VIRGINIA	NC HEALTH CHOICE
4	8906998	OTHER	VIRGINIA	NORTH CAROLINA MEDICAID
5	006732861	MEDICAID	VIRGINIA
6	C06141	MEDICARE PIN	VIRGINIA
7	3116108340002E	OTHER	VIRGINIA	CIGNA
8	20001051	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA
9	321883	OTHER	VIRGINIA	ALLIANCE/MDIPA
10	4480859	OTHER	VIRGINIA	AETNA
11	15404	OTHER	VIRGINIA	OPTIMA/SENTARA HEALTH
12	321883	OTHER	VIRGINIA	MAMSI/OPTIMUM CHOICE
13	F78605	MEDICARE UPIN	VIRGINIA

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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