DR. ISAAC LAURENCE KELLY M.D.
NPI 1083057525
Urology in Upland, CA

Active since April 15, 2013PECOS EnrolledAccepts Medicare Assignment
1113 ALTA AVE STE 110, UPLAND, CA 91786(909) 985-9737 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 3, 2026, May 17, 2019 (2 updates tracked since 2019).

About Dr. Isaac Laurence Kelly M.d. NPPES

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

DR. ISAAC LAURENCE KELLY M.D. (NPI 1083057525) is an individual urology provider in Upland, California, licensed in California (A134284) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Loma Linda University School Of Medicine (2013).

NPPES Registry Identity

NPI1083057525
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ISAAC LAURENCE KELLYCredential: M.D.
Location Address1113 ALTA AVE STE 110Upland, CA 91786-2803
Mailing Address1113 Alta Ave Ste 110Upland, CA 91786-2803 · (909) 985-9737 · Fax (909) 985-6057
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2013
Enumeration DateApril 15, 2013
Last NPPES UpdateApril 3, 20262 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1083057525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in CA · A134284
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1113 ALTA AVE STE 110, Upland, CA 91786

Secondary Practice Locations 2

Location 111234 Anderson StLoma Linda, CA 92354-2804 · Phone (909) 558-4196
Location 21175 E Arrow Hwy Ste EUpland, CA 91786 · Phone (909) 985-9737 · Fax (909) 981-1203

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

Dr. Isaac Laurence Kelly M.d. 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 ID7618200361
PECOS Enrollment IDI20190611003377
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 12

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
559 services336 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.
178 services134 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
146 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
104 services39 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
76 services70 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers21 claims3,940 services$1.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Isaac Kelly's NPI number?

The NPI number for Isaac Kelly is 1083057525. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Isaac Kelly located?

Isaac Kelly practices at 1113 Alta Ave Ste 110, Upland, CA 91786. The listed phone number is (909) 985-9737.

What is Isaac Kelly's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Isaac Kelly enrolled in Medicare?

Yes. Isaac 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.

When was this NPI record last updated?

The NPPES record for Isaac Kelly was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.