MICHAEL D KELLEY MD NPI 1700980265

NPI Information

  • NPI: 1700980265
  • Provider Name: MICHAEL D KELLEY, MD
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 600 MARY ST
    EVANSVILLE, IN
    ZIP 47747
  • Phone: (812) 450-3405

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NPI Details

Michael D Kelley, MD is an emergency medicine in Evansville, IN with 28 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Michael D Kelley, MD NPI is 1700980265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

600 MARY ST
EVANSVILLE, IN
ZIP 47747-001
Phone: (812) 450-3405
Fax: (812) 450-3099

The NPI 1700980265 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.

  • Emergency department visit for problem of moderate severity (HCPCS:99283)
  • Emergency department visit for problem of mild to moderate severity (HCPCS:99282)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/21/2012.

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
1207P00000XEmergency Medicine01054744AINDIANAYes

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
1000000381080OTHERINDIANABCBS - GATEWAY
27127259OTHERINDIANAAETNA #
3930114133MEDICARE ID-TYPE UNSPECIFIEDINDIANARR MCARE #
4470324OTHERINDIANAHEALTHLINK #
5H26380MEDICARE UPININDIANA
6534980BBMEDICARE ID-TYPE UNSPECIFIEDINDIANA
7076673OTHERINDIANAHAMP #
8000000212792OTHERINDIANABCBS - MARY STREET
91973034OTHERINDIANAFIRST HEALTH #
10200353450MEDICAIDINDIANA
1164036205MEDICAIDKENTUCKY

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: 3/30/2025

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