1. Home
  2. Directory
  3. Florida
  4. Tampa
  5. Hospitalist
  6. NPI Profile

KATHRYN MARIE COUTURE KELLY MD
NPI 1053544783
Hospitalist in Tampa, FL

Active since August 28, 2009PECOS Enrolled
3003 W DR MARTIN LUTHER KING JR BLVD, CHRONIC COMPLEX CLINIC, TAMPA, FL 33607(813) 554-8121 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2022, Apr 18, 2017 (2 updates tracked since 2017).

About Kathryn Marie Couture Kelly Md NPPES

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

KATHRYN MARIE COUTURE KELLY MD (NPI 1053544783) is an individual hospitalist provider in Tampa, Florida, licensed in Florida (ME121201) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053544783
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameKATHRYN MARIE COUTURE KELLYCredential: MD
Location Address3003 W DR MARTIN LUTHER KING JR BLVD, CHRONIC COMPLEX CLINICTampa, FL 33607-6307
Mailing AddressPo Box 917770Orlando, FL 32891-7770 · (813) 974-2201
Phone(813) 554-8121
Sole ProprietorNo
Enumeration DateAugust 28, 2009
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
✔ NPI 1053544783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME121201
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 01071090A (IN), ME121021 (FL)
3003 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
Open in Google Maps ↗

Other Identifiers 2

Medicaid014414200FL
Other14T3PFL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Marie Couture 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.

Medicare Billing Reassignment

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

Sapphire At Gresham Rehab, LLC
2,492 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

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 33607 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

VICTOR KRIZAN
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JESSE BLAIR
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
JAD HAMDEN MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
DR. GAGAN GNANESWARA MIDATHALA MD
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANTONIO FRANCISCO PEREZ
Psychiatry & Neurology (Psychiatry)
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
ANGALINA QUINONES DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
SAMANTHA BOGARD DO
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126
GARRETT FORMAN MD, MPH
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8126

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 Kathryn Kelly's NPI number?

The NPI number for Kathryn Kelly is 1053544783. It was assigned to this individual provider in the NPPES registry on August 28, 2009.

Where is Kathryn Kelly located?

Kathryn Kelly practices at 3003 W Dr Martin Luther King Jr Blvd Chronic Complex Clinic, Tampa, FL 33607. The listed phone number is (813) 554-8121.

What is Kathryn Kelly's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kathryn Kelly enrolled in Medicare?

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

Which organization bills Medicare for Kathryn Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Kelly reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). 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 Kathryn Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathryn Kelly accept?

Health plans from Kaiser Permanente and Molina Healthcare list Kathryn 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 Kathryn Kelly was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.