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DR. TIMOTHY KELLEY MD NPI 1871528802


NPI Information

NPI: 1871528802
Provider Name: DR. TIMOTHY KELLEY, MD
Classification: Otolaryngology - 207YX0905X
Entity Type: Individual

Specialization: Otolaryngology/Facial Plastic Surgery

PECOS Registration: Yes

Address:
520 SUPERIOR AVE STE 315
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 645-3223
Get Directions

DR. Timothy Kelley, MD is an otolaryngology/facial plastic surgery otolaryngology in Newport Beach, CA with 35 years of experience. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. DR. Timothy Kelley, MD NPI is 1871528802. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1989

The provider's business location address is:

520 SUPERIOR AVE STE 315
NEWPORT BEACH, CA
ZIP 92663-667
Phone: (949) 645-3223
Fax: (949) 645-3222

The NPI 1871528802 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Diagnostic examination of ear and nose (HCPCS:92504)

The enumeration date for this NPI number is 7/11/2006 and was last updated on 11/3/2023.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryG78999CALIFORNIAYes

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
100G789990MEDICAIDCALIFORNIA

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.