DR. BRENDAN PATRICK KELLY MD
NPI 1033233192
Pediatrics - Pediatric Cardiology in Portland, OR
About Dr. Brendan Patrick Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRENDAN PATRICK KELLY MD (NPI 1033233192) is an individual pediatric cardiology provider in Portland, Oregon, licensed in Oregon (MD29308) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Clackamas.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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. Brendan Patrick Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Brendan Kelly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97239
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1881848307 (Washington)
- 2,212 clinicians in this Medicare group
Portland, OR 97209
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Bend, OR 97701
- Reassigned Medicare billing, Oregon enrollment
- 307 clinicians in this Medicare group
Coos Bay, OR 97420
- Reassigned Medicare billing, Oregon enrollment
- 327 clinicians in this Medicare group
Grants Pass, OR 97527
- Reassigned Medicare billing, Oregon enrollment
- 207 clinicians in this Medicare group
Medford, OR 97504
- Reassigned Medicare billing, Oregon enrollment
- 267 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.
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.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Brendan Kelly's NPI number?
The NPI number for Brendan Kelly is 1033233192. It was assigned to this individual provider in the NPPES registry on March 16, 2007.
Where is Brendan Kelly located?
Brendan Kelly practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-5750.
What is Brendan Kelly's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Brendan Kelly enrolled in Medicare?
Yes. Brendan Kelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Brendan Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brendan Kelly reassigns Medicare benefits to 6 organizations: University Professional Services (Portland, OR), Kaiser Foundation Health Plan Of The Northwest (Portland, OR), St. Charles Health System, Inc. (Bend, OR), Bay Area Hospital District (Coos Bay, OR), Asante Three Rivers Medical Center, LLC (Grants Pass, OR) and 1 more organization, listed in the Medicare section above. 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 Brendan Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brendan Kelly accept?
Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Brendan 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 Brendan Kelly was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Brendan Patrick Kelly, MD · NPI 1033233192
Pediatric Cardiology physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since March 16, 2007.
## Identity
- **NPI:** 1033233192 (Entity type: Individual)
- **Enumerated:** March 16, 2007
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** MD29308 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 418-5750 · **Fax:** (503) 418-5793
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): University Professional Services (NPI 1376709535, Portland, OR); Kaiser Foundation Health Plan Of The Northwest (NPI 1649722034, Portland, OR); St. Charles Health System, Inc. (NPI 1780698696, Bend, OR); Bay Area Hospital District (NPI 1225016561, Coos Bay, OR); Asante Three Rivers Medical Center, LLC (NPI 1801891809, Grants Pass, OR); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033233192) · Data from the CMS NPPES public registry.