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JAMES PATRICK KELLY IV DO
NPI 1053940676
Pediatrics in Indianapolis, IN

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
705 RILEY HOSPITAL DR., RI-5837, INDIANAPOLIS, IN 46202(317) 944-4034 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 7, 2024, Apr 6, 2020 (2 updates tracked since 2020).

About James Patrick Kelly Iv Do NPPES

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

JAMES PATRICK KELLY IV DO (NPI 1053940676) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Michigan (5101027387) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Detroit, and is a graduate of Michigan State University College Of Osteopathic Medicine (2020).

NPPES Registry Identity

NPI1053940676
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMES PATRICK KELLY IVCredential: DO
Location Address705 RILEY HOSPITAL DR., RI-5837Indianapolis, IN 46202
Mailing Address963 Roosevelt StPlymouth, MI 48170-2003 · (313) 598-3941
Phone(317) 944-4034
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1053940676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 5101027387
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
705 RILEY HOSPITAL DR., RI-5837, Indianapolis, IN 46202
Open in Google Maps ↗

Secondary Practice Location 1

Location 13901 Beaubien StDetroit, MI 48201-2119 · Phone (313) 745-5870

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Patrick Kelly Iv Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901237577
PECOS Enrollment IDI20240805002532
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 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE CLAIRE BRINKWORTH DO
Pediatrics
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
ZACHARY RICHARD PATTON MD
Psychiatry & Neurology (Psychiatry)
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4035
MITCHELL JOHN WITKOWSKI DO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
CASSANDRA SUE PRATHER MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
LEILANI VICENTE MANGLICMOT MD
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
STEPHANIE LATSHAW
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034
ISAIAH CHARLES INGRAM
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR., RI-5837
INDIANAPOLIS, IN 46202
Marion County (317) 944-4034

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 James Kelly's NPI number?

The NPI number for James Kelly is 1053940676. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is James Kelly located?

James Kelly practices at 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202. The listed phone number is (317) 944-4034.

What is James Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is James Kelly enrolled in Medicare?

Yes. James Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list James 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 James Kelly was last updated on May 7, 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.