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LAWRENCE J KELLY MD NPI 1124014758


NPI Information

NPI: 1124014758
Provider Name: LAWRENCE J KELLY, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual
Organization: BHSM REHABILITATION LLC

PECOS Registration: Yes

Address:
12361 W BOLA DR
SUITE 100
SURPRISE, AZ
ZIP 85378
Phone: (623) 584-5626
Get Directions

Lawrence J Kelly, MD is an orthopaedic surgery in Surprise, AZ with 34 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Lawrence J Kelly, MD NPI is 1124014758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

12361 W BOLA DR
SUITE 100
SURPRISE, AZ
ZIP 85378-021
Phone: (623) 584-5626
Fax: (623) 584-8998

The NPI 1124014758 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.

  • Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance (HCPCS:20611)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Repair of knee joint (HCPCS:27447)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 6/6/2016.


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
1207XX0005XOrthopaedic SurgerySports Medicine35083ARIZONANo
2207X00000XOrthopaedic Surgery27172ARIZONAYes

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
11124014758OTHERARIZONAAHCCCS
2P00188666OTHERARIZONARAILROAD MEDICARE
32Z1651OTHERARIZONAHEALTHNET
40321470001MEDICARE NSCARIZONA
5ZWCLCJMEDICARE PINARIZONA
6514829MEDICAIDARIZONA
7100683MEDICARE PINARIZONA
8P0836100OTHERARIZONABCBS OUT OF AREA
92036792OTHERARIZONAUNITED HEALTHCARE
105920416OTHERARIZONAAETNA
11G27850MEDICARE UPIN

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.