JAMES M KELLY M.D. NPI 1104861343

NPI Information

  • NPI: 1104861343
  • Provider Name: JAMES M KELLY, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 LARKSPUR LANE
    EPHRATA, PA
    ZIP 17522
  • Phone: (717) 738-0660

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NPI Details

James M Kelly, M.D. is a family medicine in Ephrata, PA with 22 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. James M Kelly, M.D. NPI is 1104861343. 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:

101 LARKSPUR LANE
EPHRATA, PA
ZIP 17522-402
Phone: (717) 738-0660
Fax: (717) 738-0658

The NPI 1104861343 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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Automated urinalysis test (HCPCS:81003)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/28/2025.

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
1207Q00000XFamily MedicineMD428418PENNSYLVANIAYes

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
150061893OTHERPENNSYLVANIACAPITAL BLUE CROSS
27276819OTHERPENNSYLVANIAAETNA NON-HMO
31874597OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
450065832OTHERPENNSYLVANIACAPITAL BLUE CROSS
550061968OTHERPENNSYLVANIACAPITAL BLUE CROSS
650060203OTHERPENNSYLVANIACAPITAL BLUE CROSS
71016458260001MEDICAIDPENNSYLVANIA
8107754 S1QFOTHERPENNSYLVANIAGEISINGER HEALTH PLAN
91429961OTHERPENNSYLVANIAAETNA HMO
10I54742OTHERPENNSYLVANIAHEALTH ASSURANCE
11P008054OTHERPENNSYLVANIAGATEWAY HEALTH PLAN

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: 11/21/2025

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