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KERRY-ANN ALYSCIA KELLY MD
NPI 1023367141
Obstetrics & Gynecology in Pleasanton, CA

Active since September 05, 2012PECOS EnrolledAccepts Medicare Assignment
91.04/100
CMS Quality Rating
4725 FIRST ST STE 100, PLEASANTON, CA 94655(925) 734-3333 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kerry-ann Alyscia Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY-ANN ALYSCIA KELLY MD (NPI 1023367141) is an individual obstetrics & gynecology provider in Pleasanton, California, licensed in California (A126079) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Morehouse School Of Medicine (2011).

NPPES Registry Identity

NPI1023367141
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKERRY-ANN ALYSCIA KELLYCredential: MD
Location Address4725 FIRST ST STE 100Pleasanton, CA 94655
Mailing Address4725 1st St Ste 100Pleasanton, CA 94566-7366 · (925) 734-3333
Phone(925) 734-3333
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2011
Enumeration DateSeptember 5, 2012
Last NPPES UpdateFebruary 9, 2026
NPPES CertifiedFebruary 9, 2026
✔ NPI 1023367141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · A126079✔ Licensed in GA · 99909
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4725 FIRST ST STE 100, Pleasanton, CA 94655
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11200 Northside Forsyth DrCumming, GA 30041-7659 · Phone (770) 844-3200 · Fax (770) 844-3227
Location 22500 Merced St, OB/GYN DepartmentSan Leandro, CA 94577-4201 · Phone (510) 454-4090

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kerry-ann Alyscia Kelly Md 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.

PECOS PAC ID941592901
PECOS Enrollment IDI20160712001530
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.13
Promoting Interoperability100
Improvement Activities40
Cost64.1

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 Kerry-ann Kelly's NPI number?

The NPI number for Kerry-ann Kelly is 1023367141. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Kerry-ann Kelly located?

Kerry-ann Kelly practices at 4725 First St Ste 100, Pleasanton, CA 94655. The listed phone number is (925) 734-3333.

What is Kerry-ann Kelly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kerry-ann Kelly enrolled in Medicare?

Yes. Kerry-ann Kelly 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.

What insurance does Kerry-ann Kelly accept?

Health plans from CareSource list Kerry-ann Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerry-ann Kelly was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.