MICHAEL TIMOTHY KELLEY M.S. PA-C
NPI 1073571816
Physician Assistant - Surgical in Tempe, AZ

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
6625 S RURAL RD STE 104, TEMPE, AZ 85283(480) 833-4515(480) 833-5078 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2023, Dec 27, 2022, Dec 21, 2022 (3 updates tracked since 2022).

About Michael Timothy Kelley M.s. Pa-c NPPES

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

MICHAEL TIMOTHY KELLEY M.S. PA-C (NPI 1073571816) is an individual surgical provider in Tempe, Arizona, licensed in Arizona (AZ3829) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1073571816
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMICHAEL TIMOTHY KELLEYCredential: M.S. PA-C
Location Address6625 S RURAL RD STE 104Tempe, AZ 85283-3717
Mailing Address2532 E Mercer LnPhoenix, AZ 85028-2530 · (602) 799-3181
Fax(480) 833-5078
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 2, 2006
Last NPPES UpdateAugust 8, 20233 updates tracked since enumeration
NPPES CertifiedAugust 8, 2023
NPI 1073571816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · AZ3829
6625 S RURAL RD STE 104, Tempe, AZ 85283

Secondary Practice Location 1

Location 15505 W Chandler Blvd Ste 11Chandler, AZ 85226-3683 · Phone (480) 659-2571 · Fax (480) 207-2713

Other Identifiers 2

OtherAZ3829AZ · Arizona State License Number
Medicaid585950AZ

Accepted 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

Michael Timothy Kelley M.s. Pa-c 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 ID8527183342
PECOS Enrollment IDI20100916001388
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.

Areas of Expertise CMS Part B claims 7

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.

Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
694 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
243 services30 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
218 services29 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
169 services25 patients
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care G0283
Electrical stimulation is a therapy method where mild electrical pulses are used to treat pain or stimulate muscles in certain areas. It's not for wound care but is part of a broader therapy plan. It's safe, non-invasive, and can help improve overall health.
109 services23 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
105 services26 patients

Other Providers at the Same Location NPPES 4

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

Family Medicine
6625 S RURAL RD STE 104
TEMPE, AZ 85283
Physician Assistant
6625 S RURAL RD STE 104
TEMPE, AZ 85283
Chiropractor
6625 S RURAL RD STE 104
TEMPE, AZ 85283
Chiropractor
6625 S RURAL RD STE 104
TEMPE, AZ 85283

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 Michael Kelley's NPI number?

The NPI number for Michael Kelley is 1073571816. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Michael Kelley located?

Michael Kelley practices at 6625 S Rural Rd Ste 104, Tempe, AZ 85283. The listed phone number is (480) 833-4515.

What is Michael Kelley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Michael Kelley enrolled in Medicare?

Yes. Michael Kelley 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 Michael Kelley accept?

Health plans from Blue Cross Blue Shield of Arizona list Michael Kelley 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 Michael Kelley was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.