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ALEC S KELLISH
NPI 1063092377
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 11, 2021PECOS Enrolled
925 CHESTNUT ST FL 5, PHILADELPHIA, PA 19107(267) 339-3738(267) 339-3500 Get Directions Write a Review

NPPES record last updated: April 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alec S Kellish NPPES

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

ALEC S KELLISH (NPI 1063092377) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063092377
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEC S KELLISH
Location Address925 CHESTNUT ST FL 5Philadelphia, PA 19107-4206
Mailing Address925 Chestnut St Fl 5Philadelphia, PA 19107-4206 · (267) 339-3738 · Fax (267) 339-3500
Phone(267) 339-3738
Fax(267) 339-3500
Sole ProprietorYes
Enumeration DateApril 11, 2021
NPPES CertifiedApril 11, 2021
✔ NPI 1063092377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

925 CHESTNUT ST FL 5, Philadelphia, PA 19107
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alec S Kellish 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.

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. JENNIFER BIDO MD, MPH
Student in an Organized Health Care Education/Training Program
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107
Philadelphia County (800) 321-9999
DANIEL NEMIROV
Student in an Organized Health Care Education/Training Program
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3738
BRANDON WEINBERG PT, DPT
Physical Therapist
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3658
JOHN JOSEPH PELL MD
Orthopaedic Surgery
925 CHESTNUT ST FL 5, ROTHMAN INSTITUTE
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3500
LAUREN CHASE O'MARA MD
Student in an Organized Health Care Education/Training Program
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3738
MONAL PATEL
Occupational Therapist
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107
Philadelphia County (800) 321-9999
MATTHEW R BRYAN
Student in an Organized Health Care Education/Training Program
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3738
RECONSTRUCTIVE ORTHOPAEDIC ASSOCIATES II, LLC
Prosthetic/Orthotic Supplier
925 CHESTNUT ST FL 5
PHILADELPHIA, PA 19107
Philadelphia County (267) 339-3500

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 Alec Kellish's NPI number?

The NPI number for Alec Kellish is 1063092377. It was assigned to this individual provider in the NPPES registry on April 11, 2021.

Where is Alec Kellish located?

Alec Kellish practices at 925 Chestnut St Fl 5, Philadelphia, PA 19107. The listed phone number is (267) 339-3738.

What is Alec Kellish's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Alec Kellish enrolled in Medicare?

Yes. Alec Kellish is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alec Kellish was last updated on April 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.