DR. RONAN J KELLY MD NPI 1477846715

NPI Information

NPI: 1477846715
Provider Name: DR. RONAN J KELLY, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
3410 WORTH ST STE 400
DALLAS, TX
ZIP 75246
Phone: (214) 370-1000
Get Directions

DR. Ronan J Kelly, MD is a medical oncology internal medicine in Dallas, TX. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. DR. Ronan J Kelly, MD NPI is 1477846715. 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:

3410 WORTH ST STE 400
DALLAS, TX
ZIP 75246-092
Phone: (214) 370-1000
Fax: (214) 370-1986

The NPI 1477846715 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 5/19/2011 and was last updated on 12/7/2021.

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	207R00000X	Internal Medicine		R8922	TEXAS	No
2	207RX0202X	Internal Medicine	Medical Oncology	R8922	TEXAS	Yes
3	207RX0202X	Internal Medicine	Medical Oncology	D72295	MARYLAND	No

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	392921801	MEDICAID	TEXAS
2	048473300	MEDICAID	MARYLAND

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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