MARITZA KELESIS MD
NPI 1073216040
Emergency Medicine in Louisville, KY

Q: What is Maritza Kelesis's NPI number?

The NPI number for Maritza Kelesis is 1073216040. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Maritza Kelesis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Maritza Kelesis was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 27, 2023PECOS EnrolledAccepts Medicare Assignment

530 S JACKSON ST, LOUISVILLE, KY 40202(502) 562-3000 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 21, 2026, Mar 27, 2023 (2 updates tracked since 2023).

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About Maritza Kelesis Md NPPES

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

MARITZA KELESIS MD (NPI 1073216040) is an individual emergency medicine provider in Louisville, Kentucky, licensed in Kentucky (61067) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1073216040

Entity TypeIndividualFemale

Primary Taxonomy207P00000X

Provider Legal NameMARITZA KELESISCredential: MD

Location Address530 S JACKSON STLouisville, KY 40202-1675

Mailing Address753 Vegas Valley DrLas Vegas, NV 89109-1528 · (702) 249-1300

Phone(502) 562-3000

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 27, 2023

Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1073216040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in KY · 61067

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

530 S JACKSON ST, Louisville, KY 40202

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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

Maritza Kelesis Md 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 ID8325588551

PECOS Enrollment IDI20251003003203

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 Maritza Kelesis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elizabethtown Emergency Physicians, LLC

38 mi

Emergency Medicine

913 N DIXIE AVE
Elizabethtown, KY 42701

Reassigned Medicare billing, Kentucky enrollment
46 clinicians in this Medicare group

NPI 1528003316 (877) 783-6257

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.

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number180012

Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

KARI BETH CHRISTIE MD

Anesthesiology