DR. SUZANNE B KELLEY MD
NPI 1033146436
Pediatrics in Fort Worth, TX
About Dr. Suzanne B Kelley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUZANNE B KELLEY MD (NPI 1033146436) is an individual pediatrics provider in Fort Worth, Texas, licensed in Texas (J3303) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Suzanne B Kelley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Suzanne Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76104
- Reassigned Medicare billing, Texas enrollment
- 985 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Suzanne Kelley's NPI number?
The NPI number for Suzanne Kelley is 1033146436. It was assigned to this individual provider in the NPPES registry on June 28, 2006. The provider is also known as Suzanne B Dixson MD.
Where is Suzanne Kelley located?
Suzanne Kelley practices at 1500 S Main St, Fort Worth, TX 76104. The listed phone number is (817) 921-3431.
What is Suzanne Kelley's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Suzanne Kelley enrolled in Medicare?
Yes. Suzanne Kelley is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Suzanne Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suzanne Kelley reassigns Medicare benefits to Acclaim Physician Group, Inc (Fort Worth, TX). The 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 Suzanne Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suzanne Kelley accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Suzanne Kelley 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 Suzanne Kelley was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Suzanne B Kelley, MD · NPI 1033146436
Pediatrics physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since June 28, 2006.
## Identity
- **NPI:** 1033146436 (Entity type: Individual)
- **Enumerated:** June 28, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** J3303 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S MAIN ST, Fort Worth, TX 76104-4917
- **Phone:** (817) 921-3431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Acclaim Physician Group, Inc (NPI 1780076562, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicaid 175531601 (TX); Medicare ID-Type Unspecified 8D8452 (TX); Medicare UPIN F90996 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1033146436) · Data from the CMS NPPES public registry.