DR. MARY ALICE KELLY MD
NPI 1053361816
Internal Medicine in West Seneca, NY

Q: What is Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1053361816. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on October 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2006PECOS Enrolled

1900 RIDGE RD, STE 130, WEST SENECA, NY 14224(716) 675-0707(716) 961-3706 Get Directions Write a Review

NPPES record last updated: October 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Mary Alice Kelly Md NPPES

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

DR. MARY ALICE KELLY MD (NPI 1053361816) is an individual internal medicine provider in West Seneca, New York, licensed in New York (1568631) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053361816

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. MARY ALICE KELLYCredential: MD

Location Address1900 RIDGE RD, STE 130West Seneca, NY 14224-3332

Mailing Address1900 Ridge Rd, Ste130West Seneca, NY 14224-3332 · (716) 675-0707 · Fax (716) 961-3706

Phone(716) 675-0707

Fax(716) 961-3706

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateOctober 19, 2012

✔ NPI 1053361816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 1568631

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1900 RIDGE RD, West Seneca, NY 14224

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Other Identifiers 5

Other000500738001Bcbs

Medicare UPIND01420

Other0401537Iha

Other00010089201Univera

Medicare ID-Type UnspecifiedB77781

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Alice Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers11 claims29 services$6.00 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier30 claims30 services$67.45 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

3 suppliers16 claims16 services$24.40 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. KIMBERLY M ODDO M.D.

Family Medicine

1900 RIDGE RD
WEST SENECA, NY 14224

Erie County (716) 712-0670

DR. TIMOTHY FRANCIS GABRYEL MD

Internal Medicine

1900 RIDGE RD, STE 130
WEST SENECA, NY 14224

Erie County (716) 675-0707

IRENE P ROZMUS ANP

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1900 RIDGE RD, MEDICAL ASSOCIATES SOUTHTOWNS PC
WEST SENECA, NY 14224

Erie County (716) 675-3754

TIMOTHY F GABRYEL MD PC

Non-Pharmacy Dispensing Site

1900 RIDGE RD, SUITE 130
BUFFALO, NY 14224

Erie County (716) 675-0707

RICHARD E ZIARKOWSKI DC

Chiropractor

1900 RIDGE RD
WEST SENECA, NY 14224

Erie County (716) 677-2969

LYNDA JOY FRANCIS RPAC

Physician Assistant

1900 RIDGE RD, STE 130
WEST SENECA, NY 14224

Erie County (716) 675-0707

KRISTY LYNNE MCDONALD LMT

Massage Therapist

1900 RIDGE RD, STE 127
WEST SENECA, NY 14224

Erie County (716) 677-2969

SENECA OPTICAL INC.

Optometrist (Corneal and Contact Management)

1900 RIDGE RD, SUITE 101
WEST SENECA, NY 14224

Erie County (716) 677-9800

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 Mary Kelly's NPI number?

The NPI number for Mary Kelly is 1053361816. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Mary Kelly located?

Mary Kelly practices at 1900 Ridge Rd Ste 130, West Seneca, NY 14224. The listed phone number is (716) 675-0707.

What is Mary Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Kelly enrolled in Medicare?

Yes. Mary Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Kelly was last updated on October 19, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.