SHARON B KELLY MD NPI 1205930351

NPI Information

  • NPI: 1205930351
  • Provider Name: SHARON B KELLY, MD
  • Classification: Dermatology - 207NP0225X
  • Specialization: Pediatric Dermatology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14030 NE 24TH ST
    SUITE 202
    BELLEVUE, WA
    ZIP 98007
  • Phone: (425) 454-1104

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NPI Details

Sharon B Kelly, MD is a pediatric dermatology dermatology in Bellevue, WA. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. Sharon B Kelly, MD NPI is 1205930351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14030 NE 24TH ST
SUITE 202
BELLEVUE, WA
ZIP 98007
Phone: (425) 454-1104
Fax: (425) 454-1290

The NPI 1205930351 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.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm (HCPCS:17262)

The enumeration date for this NPI number is 9/11/2006 and was last updated on 9/11/2025.

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
1207N00000XDermatologyMD00023018WASHINGTONNo
2207NS0135XDermatologyProcedural DermatologyMD00023018WASHINGTONNo
3207NP0225XDermatologyPediatric DermatologyMD00023018WASHINGTONYes

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
17080237MEDICAIDWASHINGTON
24291026OTHERWASHINGTONAETNA
3KE2842OTHERWASHINGTONREGENCE
41068816MEDICAIDWASHINGTON
5CN9262OTHERWASHINGTONRAILROAD MEDICARE GROUP

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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