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DEVON KELLEY MD
NPI 1043960404
General Practice in Piscataway, NJ

Active since March 28, 2022PECOS Enrolled
675 HOES LN W, PISCATAWAY, NJ 08854(732) 235-7673 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Devon Kelley Md NPPES

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

DEVON KELLEY MD (NPI 1043960404) is an individual general practice provider in Piscataway, New Jersey, licensed in Pennsylvania (486586) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1043960404
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDEVON KELLEYCredential: MD
Location Address675 HOES LN WPiscataway, NJ 08854-8021
Mailing Address1900 Arch St Apt 410Philadelphia, PA 19103-1534 · (510) 846-4843
Phone(732) 235-7673
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 28, 2022
Last NPPES UpdateSeptember 6, 2024
NPPES CertifiedSeptember 6, 2024
✔ NPI 1043960404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PA · 486586
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
675 HOES LN W, Piscataway, NJ 08854
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Devon Kelley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476044967
PECOS Enrollment IDI20251112003099
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 Billing Reassignment

Medicare enrollment records show Devon Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
1,343 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

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.

PALAK R PATEL
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-5016
DR. NAJM KHAN MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-4690
SYDNEY WELLENS MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-7673
RISA NICOLE KIERNAN DO
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (203) 974-2640
JAMES HAROLD REESE MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-7673
JUSTIN LEE BENTON
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-4670
DR. EMILY KATHERINE KOLODKA MD
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-7673
KAUSTAV CHATTOPADHYAY
Student in an Organized Health Care Education/Training Program
675 HOES LN W
PISCATAWAY, NJ 08854
Middlesex County (732) 235-6200

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 Devon Kelley's NPI number?

The NPI number for Devon Kelley is 1043960404. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Devon Kelley located?

Devon Kelley practices at 675 Hoes Ln W, Piscataway, NJ 08854. The listed phone number is (732) 235-7673.

What is Devon Kelley's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Devon Kelley enrolled in Medicare?

Yes. Devon Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Devon Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Devon Kelley reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, 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 Devon 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 Devon Kelley was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.