MICHAEL JOHN KELLEY M.D. NPI 1700883154

NPI Information

  • NPI: 1700883154
  • Provider Name: MICHAEL JOHN KELLEY, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1906 BELLEVIEW AVE SE
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 981-7083

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NPI Details

Michael John Kelley, M.D. is a diagnostic radiology radiology in Roanoke, VA with 57 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Michael John Kelley, M.D. NPI is 1700883154. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1969

The provider's business location address is:

1906 BELLEVIEW AVE SE
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-7083

The NPI 1700883154 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.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Double contrast x-ray of esophagus (HCPCS:74221)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray lower and sacral spine, minimum of 6 views (HCPCS:72114)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of ribs on side of body, minimum of 3 views (HCPCS:71101)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of middle spine, 2 views (HCPCS:72070)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 1/9/2023.

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 Radiology31847NORTH CAROLINANo
22085R0202XRadiologyDiagnostic Radiology20717SOUTH CAROLINANo
32085R0202XRadiologyDiagnostic RadiologyC38560CALIFORNIANo
42085R0204XRadiologyVascular & Interventional Radiology20717SOUTH CAROLINANo
52085R0204XRadiologyVascular & Interventional RadiologyC38560CALIFORNIANo
62085R0204XRadiologyVascular & Interventional Radiology31847NORTH CAROLINANo
72085R0202XRadiologyDiagnostic Radiology0101274514VIRGINIAYes

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
1NC 300096436OTHERNORTH CAROLINARR MEDICARE NC
28948125MEDICAIDNORTH CAROLINA
3N31847MEDICAIDSOUTH CAROLINA
4SC 300109599OTHERSOUTH CAROLINARR MEDICARE SC

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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