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JACOB PATRICK KELLY MD NPI 1851551949


NPI Information

NPI: 1851551949
Provider Name: JACOB PATRICK KELLY, MD
Classification: Internal Medicine - 207RA0001X
Entity Type: Individual

Specialization: Advanced Heart Failure and Transplant Cardiology

Organization: ALASKA HEART INSTITUTE

PECOS Registration: Yes

Address:
3841 PIPER ST STE T100
ANCHORAGE, AK
ZIP 99508
Phone: (907) 561-3211
Get Directions

Jacob Patrick Kelly, MD is an advanced heart failure and transplant cardiology internal medicine in Anchorage, AK with 16 years of experience. The provider is specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure. Jacob Patrick Kelly, MD NPI is 1851551949. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:2008

The provider's business location address is:

3841 PIPER ST STE T100
ANCHORAGE, AK
ZIP 99508-674
Phone: (907) 561-3211

The NPI 1851551949 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 enumeration date for this NPI number is 6/11/2008 and was last updated on 2/12/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine2012-01069NORTH CAROLINANo
2207R00000XInternal MedicineN5767TEXASNo
3207RA0001XInternal MedicineAdvanced Heart Failure and Transplant Cardiology119045ALASKAYes
4207RC0000XInternal MedicineCardiovascular Disease119045ALASKANo
5390200000XStudent in an Organized Health Care Education/Training Program2012-01069NORTH CAROLINANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11668479MEDICAIDALASKA
21851551949MEDICAIDNORTH CAROLINA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.