CRYSTAL DENISE KELLY MD NPI 1538153283

NPI Information

  • NPI: 1538153283
  • Provider Name: CRYSTAL DENISE KELLY, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • Address: 17500 W GRAND PKWY S
    MEMORIAL HERMANN- SOUND PHYSICIANS
    SUGAR LAND, TX
    ZIP 77479
  • Phone: (281) 725-5070

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NPI Details

Crystal Denise Kelly, MD is an internal medicine in Sugar Land, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Crystal Denise Kelly, MD NPI is 1538153283. 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:

17500 W GRAND PKWY S
MEMORIAL HERMANN- SOUND PHYSICIANS
SUGAR LAND, TX
ZIP 77479-562
Phone: (281) 725-5070
Fax: (281) 725-5089

The enumeration date for this NPI number is 9/8/2005 and was last updated on 8/19/2010.

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
1208000000XPediatrics036099345ILLINOISNo
2208000000XPediatricsN3785TEXASNo
3208000000XPediatrics01055817AINDIANANo
4207R00000XInternal MedicineN3785TEXASYes

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
1200760HMEDICARE PININDIANA
2036099345MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3L85669MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4200273460MEDICAIDINDIANA
5H10340MEDICARE 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: 11/21/2025

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