DR. KELLEY JANNAE HALSTEAD MD
NPI 1063420552
Obstetrics & Gynecology in Brooklyn, NY
About Dr. Kelley Jannae Halstead Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLEY JANNAE HALSTEAD MD (NPI 1063420552) is an individual obstetrics & gynecology provider in Brooklyn, New York, licensed in New York (238568) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Brooklyn Hospital Center - Downtown Campus, and is a graduate of State University Of New York Downstate Medical Center (2001).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelley Jannae Halstead Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kelley Halstead reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- 7 clinicians in this Medicare group
Brooklyn, NY 11215
- Reassigned Medicare billing, New York enrollment
- 1,029 clinicians in this Medicare group
Brooklyn, NY 11235
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Manhattan Beach Obgyn PC
- 5 clinicians in this Medicare group
Brooklyn, NY 11201
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Best Womens Medical Care PC
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Brooklyn Hospital Center - Downtown Campus
Acute Care Hospitals · Brooklyn, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BROOKLYN, NY 11201
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 Kelley Halstead's NPI number?
The NPI number for Kelley Halstead is 1063420552. It was assigned to this individual provider in the NPPES registry on August 3, 2006.
Where is Kelley Halstead located?
Kelley Halstead practices at 142 Joralemon St Suite 4c-F, Brooklyn, NY 11201. The listed phone number is (718) 624-0604.
What is Kelley Halstead's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kelley Halstead enrolled in Medicare?
Yes. Kelley Halstead is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelley Halstead's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelley Halstead reassigns Medicare benefits to 4 organizations: Professional Gynecological Services, PC (Bklyn, NY), Kings Physician Services, PC (Brooklyn, NY), Manhattan Beach Obgyn, P.C. (Brooklyn, NY) and Best Women's Medical Care, PC (Brooklyn, NY). Each 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 Kelley Halstead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kelley Halstead affiliated with any hospitals?
According to CMS data, Kelley Halstead is affiliated with Brooklyn Hospital Center - Downtown Campus.
When was this NPI record last updated?
The NPPES record for Kelley Halstead was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Kelley Jannae Halstead, MD · NPI 1063420552
Obstetrics & Gynecology physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since August 3, 2006.
## Identity
- **NPI:** 1063420552 (Entity type: Individual)
- **Enumerated:** August 3, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 238568 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 142 JORALEMON ST, SUITE 4C-F, Brooklyn, NY 11201-4709
- **Phone:** (718) 624-0604
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Professional Gynecological Services, PC (NPI 1184847410, Bklyn, NY); Kings Physician Services, PC (NPI 1083045090, Brooklyn, NY); Manhattan Beach Obgyn, P.C. (NPI 1598924458, Brooklyn, NY); Best Women's Medical Care, PC (NPI 1851564637, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2001
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1063420552) · Data from the CMS NPPES public registry.