1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Pediatrics
  6. NPI Profile

KELLY MARIE ADAMS D.O.
NPI 1073825121
Pediatrics - Pediatric Pulmonology in Bronx, NY

Active since July 06, 2010PECOS Enrolled
3415 BAINBRIDGE AVE, THE CHILDREN'S HOSPITAL AT MONTEFIORE MEDICAL CENTER, BRONX, NY 10467(718) 515-2330(718) 515-2608 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelly Marie Adams D.o. NPPES

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

KELLY MARIE ADAMS D.O. (NPI 1073825121) is an individual pediatric pulmonology provider in Bronx, New York, licensed in New York (4233921) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073825121
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameKELLY MARIE ADAMSCredential: D.O.
Location Address3415 BAINBRIDGE AVE, THE CHILDREN'S HOSPITAL AT MONTEFIORE MEDICAL CENTERBronx, NY 10467-2403
Mailing Address3415 Bainbridge Ave, The Children's Hospital At Montefiore Medical CenterBronx, NY 10467-2403 · (718) 515-2330 · Fax (718) 515-2608
Phone(718) 515-2330
Fax(718) 515-2608
Sole ProprietorNo
Enumeration DateJuly 6, 2010
Last NPPES UpdateAugust 29, 2014
✔ NPI 1073825121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
Licenses✔ Licensed in NY · 4233921✔ Licensed in PA · OS015115
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
3415 BAINBRIDGE AVE, Bronx, NY 10467
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Adams D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Adams reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
0.1 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
North Shore-Lij Medical PC
11 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MRS. ASHLEY RAE NOBOA MSN, FNP-C
Nurse Practitioner (Family)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-7200
MADELEINE ANN STEINHAUER RN
Registered Nurse
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (914) 417-7684
MOHAMMED AMIN FADOL AMIN
Pediatrics (Pediatric Nephrology)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
BASIRAT SHOBERU PHARMD, BCPPS
Pharmacist (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 528-2254
DR. OMOTOLA ADETOUN AKINTOLA MD, MPH
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
SARAH LOIS RADER MD
Pediatrics
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2426
MAHESH KUMAR ATHWANI MD
Student in an Organized Health Care Education/Training Program
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 920-3000
MARGARET FARRELLY COLLINS FRUZZETTI CPNP
Nurse Practitioner (Pediatrics)
3415 BAINBRIDGE AVE
BRONX, NY 10467
Bronx County (718) 741-2150

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 Kelly Adams's NPI number?

The NPI number for Kelly Adams is 1073825121. It was assigned to this individual provider in the NPPES registry on July 6, 2010.

Where is Kelly Adams located?

Kelly Adams practices at 3415 Bainbridge Ave The Children's Hospital At Montefiore Medical Center, Bronx, NY 10467. The listed phone number is (718) 515-2330.

What is Kelly Adams's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Kelly Adams enrolled in Medicare?

Yes. Kelly Adams is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Adams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Adams reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and North Shore-Lij Medical PC (Great Neck, 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 Kelly Adams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Adams was last updated on August 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.