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DR. MICHAEL KELLY MD NPI 1912981010


NPI Information

NPI: 1912981010
Provider Name: DR. MICHAEL KELLY, MD
Classification: Pathology - 207ZP0102X
Entity Type: Individual

Specialization: Anatomic Pathology & Clinical Pathology

Organization: LANGSTON WALKER AND ASSOCIATES, P.C.

PECOS Registration: Yes

Address:
7733 E JEFFERSON AVE
DETROIT, MI
ZIP 48214
Phone: (313) 499-3000
Get Directions

DR. Michael Kelly, MD is an anatomic pathology and clinical pathology pathology in Detroit, MI with 34 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Michael Kelly, MD NPI is 1912981010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

7733 E JEFFERSON AVE
DETROIT, MI
ZIP 48214-707
Phone: (313) 499-3000

The NPI 1912981010 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.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Tissue or cell analysis by immunologic technique (HCPCS:88342)
  • Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
  • Special stained specimen slides to examine tissue (HCPCS:88341)
  • Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)

The enumeration date for this NPI number is 12/1/2005 and was last updated on 10/31/2013.


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
1207ZP0102XPathologyAnatomic Pathology & Clinical Pathology4301065795MICHIGANYes

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
1H27500023MEDICARE PINMICHIGAN
226256021MEDICARE PINMICHIGAN
3BLUE CROSSOTHERMICHIGAN340H275000
4COMMERICALOTHERMICHIGAN382032989
50H26256021MEDICARE PINMICHIGAN
6OH27500MEDICARE PINMICHIGAN
7G06157MEDICARE UPINMICHIGAN
8220015736MEDICARE PIN
926256021MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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: 11/14/2023

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.