MICHAEL J KELLIS D.O. NPI 1831190313

NPI Information

  • NPI: 1831190313
  • Provider Name: MICHAEL J KELLIS, D.O.
  • Classification: Internal Medicine - 207RS0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 SEVENTH AVE STE 200
    CHARDON, OH
    ZIP 44024
  • Phone: (440) 285-4999

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NPI Details

Michael J Kellis, D.O. is a sports medicine internal medicine in Chardon, OH with 41 years of experience. The provider is an internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. Michael J Kellis, D.O. NPI is 1831190313. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:1985

The provider's business location address is:

150 SEVENTH AVE STE 200
CHARDON, OH
ZIP 44024-909
Phone: (440) 285-4999
Fax: (402) 855-8704

The NPI 1831190313 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.

  • Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg (HCPCS:J3304)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Hyaluronan or derivative, gel-one, for intra-articular injection, per dose (HCPCS:J7326)
  • Injection of trigger points, 3 or more muscles (HCPCS:20553)
  • Injection, methylprednisolone acetate, 20 mg (HCPCS:J1020)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Needle measurement of electrical activity in arm or leg muscles, complete study (HCPCS:95886)
  • Hyaluronan or derivative, monovisc, for intra-articular injection, per dose (HCPCS:J7327)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Injection of trigger points, 1-2 muscles (HCPCS:20552)
  • Nerve conduction, 9-10 studies (HCPCS:95911)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Nerve conduction, 5-6 studies (HCPCS:95909)
  • X-ray of hip, 2-3 views (HCPCS:73502)

The enumeration date for this NPI number is 8/9/2005 and was last updated on 11/2/2023.

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
1207RS0010XInternal MedicineSports Medicine34004183OHIOYes

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
1139662OTHEROHIOANTHEM
2250006704OTHEROHIORR MEDICARE
30658051MEDICAIDOHIO
44073792OTHEROHIOAETNA

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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