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MICHAEL JOHN KELLEY M.D. NPI 1700883154


NPI Information

NPI: 1700883154
Provider Name: MICHAEL JOHN KELLEY, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014
Phone: (540) 981-7083
Get Directions

Michael John Kelley, M.D. is a diagnostic radiology radiology in Roanoke, VA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael John Kelley, M.D. NPI is 1700883154. 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:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-7083

The NPI 1700883154 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 6/30/2005 and was last updated on 1/9/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology31847NORTH CAROLINANo
22085R0202XRadiologyDiagnostic Radiology20717SOUTH CAROLINANo
32085R0202XRadiologyDiagnostic RadiologyC38560CALIFORNIANo
42085R0204XRadiologyVascular & Interventional Radiology20717SOUTH CAROLINANo
52085R0204XRadiologyVascular & Interventional RadiologyC38560CALIFORNIANo
62085R0204XRadiologyVascular & Interventional Radiology31847NORTH CAROLINANo
72085R0202XRadiologyDiagnostic Radiology0101274514VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NC 300096436OTHERNORTH CAROLINARR MEDICARE NC
28948125MEDICAIDNORTH CAROLINA
3N31847MEDICAIDSOUTH CAROLINA
4SC 300109599OTHERSOUTH CAROLINARR MEDICARE SC

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.