KELLI A. REARDON M.D. NPI 1013175769

NPI Information

  • NPI: 1013175769
  • Provider Name: KELLI A. REARDON, M.D.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 QUEENS RD
    CHARLOTTE, NC
    ZIP 28204
  • Phone: (434) 982-0777

Map and Directions

Get Directions

NPI Details

Kelli A. Reardon, M.D. is a radiation oncology radiology in Charlotte, NC with 17 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Kelli A. Reardon, M.D. NPI is 1013175769. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2008

The provider's business location address is:

200 QUEENS RD
CHARLOTTE, NC
ZIP 28204-253
Phone: (434) 982-0777
Fax: (434) 982-0792

The NPI 1013175769 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.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment (HCPCS:G6017)
  • Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy (HCPCS:G6002)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Complex radiation therapy planning (HCPCS:77263)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • 3d radiation therapy planning (HCPCS:77295)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 5/29/2008 and was last updated on 1/4/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation Oncology2015-01879NORTH CAROLINAYes

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: 3/30/2025

NPI Synchronization or Removal

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.