DR. SEAN MICHAEL KELLY D.O.
NPI 1063851509
Internal Medicine in Township Of Washington, NJ
About Dr. Sean Michael Kelly D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SEAN MICHAEL KELLY D.O. (NPI 1063851509) is an individual internal medicine provider in Township Of Washington, New Jersey, licensed in New Jersey (25MB10462600) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and is a graduate of Lincoln Memorial University Medical Department (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Sean Michael Kelly D.o. 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.
Medicare Billing Reassignments
7Medicare enrollment records show Sean Kelly reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochelle Park, NJ 07662
- Reassigned Medicare billing, New Jersey enrollment
- 96 clinicians in this Medicare group
North Bergen, NJ 07047
- Reassigned Medicare billing, New Jersey enrollment
- 37 clinicians in this Medicare group
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 351 clinicians in this Medicare group
Poughkeepsie, NY 12601
- Reassigned Medicare billing, New York enrollment
- 304 clinicians in this Medicare group
Holyoke, MA 01040
- Reassigned Medicare billing, Massachusetts enrollment
- 337 clinicians in this Medicare group
Springfield, VT 05156
- Reassigned Medicare billing, Vermont enrollment
- 56 clinicians in this Medicare group
Rutland, VT 05701
- Reassigned Medicare billing, Vermont enrollment
- 76 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Tampa
Acute Care Hospitals · Tampa, FLMary Hitchcock Memorial Hospital
Acute Care Hospitals · Lebanon, NHRiverview Medical Center
Acute Care Hospitals · Red Bank, NJSpringfield Hospital
Critical Access Hospitals · Springfield, VTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07676 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Sean Kelly's NPI number?
The NPI number for Sean Kelly is 1063851509. It was assigned to this individual provider in the NPPES registry on June 18, 2013.
Where is Sean Kelly located?
Sean Kelly practices at 606 Beech St, Township Of Washington, NJ 07676. The listed phone number is (201) 280-4458.
What is Sean Kelly's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Sean Kelly enrolled in Medicare?
Yes. Sean 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.
Which organizations bill Medicare for Sean Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Kelly reassigns Medicare benefits to 7 organizations: Inhospital Physicians Corp Of New Jersey, PC (Rochelle Park, NJ), North Bergen Hospitalists (North Bergen, NJ), Hospitalist Physicians Of New Jersey PA (Edison, NJ), New York Medical Physician Associates PC (Poughkeepsie, NY), Sound Physicians Of Massachusetts, Inc (Holyoke, MA) and 2 more organizations, listed in the Medicare section above. 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 Sean Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Kelly accept?
Health plans from Anthem Blue Cross and Blue Shield list Sean 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.
Is Sean Kelly affiliated with any hospitals?
According to CMS data, Sean Kelly is affiliated with Adventhealth Tampa, Mary Hitchcock Memorial Hospital, Riverview Medical Center and Springfield Hospital.
When was this NPI record last updated?
The NPPES record for Sean Kelly was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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. Sean Michael Kelly, D.O. · NPI 1063851509
Internal Medicine physician in Township Of Washington, New Jersey. Individual provider, active in the CMS NPPES registry since June 18, 2013.
## Identity
- **NPI:** 1063851509 (Entity type: Individual)
- **Enumerated:** June 18, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MB10462600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 606 BEECH ST, Township Of Washington, NJ 07676-4332
- **Phone:** (201) 280-4458 · **Fax:** (201) 971-4660
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Inhospital Physicians Corp Of New Jersey, PC (NPI 1336625425, Rochelle Park, NJ); North Bergen Hospitalists (NPI 1689028946, North Bergen, NJ); Hospitalist Physicians Of New Jersey PA (NPI 1588021851, Edison, NJ); New York Medical Physician Associates PC (NPI 1578316501, Poughkeepsie, NY); Sound Physicians Of Massachusetts, Inc (NPI 1184178386, Holyoke, MA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lincoln Memorial University Medical Department, class of 2013
## Record status
- **NPPES last updated:** June 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063851509) · Data from the CMS NPPES public registry.