MARK C KELLEY MD NPI 1174622500

NPI Information

  • NPI: 1174622500
  • Provider Name: MARK C KELLEY, MD
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3601 THE VANDERBILT CLINIC
    NASHVILLE, TN
    ZIP 37232
  • Phone: (615) 936-2000

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NPI Details

Mark C Kelley, MD is a surgical oncology surgery in Nashville, TN with 37 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Mark C Kelley, MD NPI is 1174622500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1989

The provider's business location address is:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
ZIP 37232-001
Phone: (615) 936-2000

The NPI 1174622500 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, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Imaging of lymph nodes during surgery (HCPCS:38900)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Biopsy or removal of deep lymph nodes of underarm (HCPCS:38525)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Full thickness skin graft to scalp, arms, or legs, 20.0 sq cm or less (HCPCS:15220)
  • Full thickness skin graft to scalp, arms, or legs, each additional 20.0 sq cm (HCPCS:15221)
  • Biopsy or removal of deep lymph nodes of neck (HCPCS:38510)
  • Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm (HCPCS:12034)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm (HCPCS:12034)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, more than 4.0 cm (HCPCS:11626)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11606)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Hernia repair - groin (open) (HCPCS:NAN19)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/22/2006 and was last updated on 3/23/2022.

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
12086X0206XSurgerySurgical OncologyMD29494TENNESSEENo
22086X0206XSurgerySurgical Oncology29494TENNESSEEYes

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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