DR. DAVID W KELLEY D.O.
NPI 1023109022
Anesthesiology in Lafayette, IN
About Dr. David W Kelley D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID W KELLEY D.O. (NPI 1023109022) is an individual anesthesiology provider in Lafayette, Indiana, licensed in Indiana (02003370A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2003).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. David W Kelley D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
5Medicare enrollment records show David Kelley reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Conway, AR 72034
- Reassigned Medicare billing, Arkansas enrollment
- Medicare enrollment name: University Of Arkansas For Medical Sciences
- Also billed through NPI 1407021280 (Arkansas)
- 2,038 clinicians in this Medicare group
Little Rock, AR 72202
- Reassigned Medicare billing, Arkansas enrollment
- 944 clinicians in this Medicare group
Fayetteville, AR 72703
- Reassigned Medicare billing, Arkansas enrollment
- 185 clinicians in this Medicare group
Benton, AR 72015
- Reassigned Medicare billing, Arkansas enrollment
- 182 clinicians in this Medicare group
New Iberia, LA 70563
- Reassigned Medicare billing, Arkansas enrollment
- 232 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, IN 47904
LAFAYETTE, IN 47904
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Kelley's NPI number?
The NPI number for David Kelley is 1023109022. It was assigned to this individual provider in the NPPES registry on September 27, 2006.
Where is David Kelley located?
David Kelley practices at 2600 Greenbush St, Lafayette, IN 47904. The listed phone number is (765) 448-8000.
What is David Kelley's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is David Kelley enrolled in Medicare?
Yes. David Kelley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for David Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Kelley reassigns Medicare benefits to 5 organizations: University Of Arkansas For Medical Science (Conway, AR), Arkansas Childrens Hospital (Little Rock, AR), Premier Anesthesia Of Arkansas Professional Corporation (Fayetteville, AR), Arkansas Anesthesia Associates, PLLC. (Benton, AR) and Youngs Professional Services LLC (New Iberia, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Kelley was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. David W Kelley, D.O. · NPI 1023109022
Anesthesiology physician in Lafayette, Indiana. Individual provider, active in the CMS NPPES registry since September 27, 2006.
## Identity
- **NPI:** 1023109022 (Entity type: Individual)
- **Enumerated:** September 27, 2006
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 02003370A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2600 GREENBUSH ST, Lafayette, IN 47904-2477
- **Phone:** (765) 448-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): University Of Arkansas For Medical Science (NPI 1760058895, Conway, AR); Arkansas Childrens Hospital (NPI 1598773079, Little Rock, AR); Premier Anesthesia Of Arkansas Professional Corporation (NPI 1932519485, Fayetteville, AR); Arkansas Anesthesia Associates, PLLC. (NPI 1497023360, Benton, AR); Youngs Professional Services LLC (NPI 1922178599, New Iberia, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still University Of Health Sciences, College Of Osteo Med, Kirksville, class of 2003
## Record status
- **NPPES last updated:** October 9, 2008
- **Other identifiers:** Other 000000576532 (IN); Medicaid 200910690 (IN); Medicare PIN 815500F7 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1023109022) · Data from the CMS NPPES public registry.