DR. KELLY D FERRELL M.D. NPI 1538111018

NPI Information

  • NPI: 1538111018
  • Provider Name: DR. KELLY D FERRELL, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2200 RANDALLIA DR
    FORT WAYNE, IN
    ZIP 46805
  • Phone: (260) 373-4731

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NPI Details

DR. Kelly D Ferrell, M.D. is a diagnostic radiology radiology in Fort Wayne, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Kelly D Ferrell, M.D. NPI is 1538111018. 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:

2200 RANDALLIA DR
FORT WAYNE, IN
ZIP 46805-638
Phone: (260) 373-4731

The NPI 1538111018 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.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Diagnostic mammography of 1 breast (HCPCS:77065)
  • Diagnostic mammography of both breasts (HCPCS:77066)
  • Limited ultrasound scan of 1 breast (HCPCS:76642)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of knee, 3 views (HCPCS:73562)

The enumeration date for this NPI number is 5/16/2006 and was last updated on 7/8/2007.

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
12085R0202XRadiologyDiagnostic Radiology01036124INDIANAYes

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
1055740NMEDICARE ID-TYPE UNSPECIFIEDINDIANA
2FE4111411MEDICARE ID-TYPE UNSPECIFIEDOHIO
3E43772MEDICARE UPININDIANA
4194930DMEDICARE ID-TYPE UNSPECIFIEDINDIANA
5147380IMEDICARE ID-TYPE UNSPECIFIEDINDIANA
6163520EMEDICARE ID-TYPE UNSPECIFIEDINDIANA
7925240CMEDICARE ID-TYPE UNSPECIFIEDINDIANA
8000000092604OTHERINDIANAANTHEM
9190320GMEDICARE ID-TYPE UNSPECIFIEDINDIANA
10924750BMEDICARE ID-TYPE UNSPECIFIEDINDIANA
11191150GMEDICARE ID-TYPE UNSPECIFIEDINDIANA

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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