KRISTOPHER J. KELLY LLC
NPI 1083973903
Specialist in Maumee, OH

NPI Status: Active since May 12, 2012

Contact Information

5655 MONCLOVA RD
MAUMEE, OH
ZIP 43537
Phone: (419) 893-4883
Fax: (419) 893-2312

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  • Organization
  • Specialist
  • Accepts Insurance

About KRISTOPHER J. KELLY LLC

This page provides the complete NPI Profile along with additional information for Kristopher J. Kelly Llc, a provider established in Maumee, Ohio operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1083973903 assigned on May 2012. The practitioner's primary taxonomy code is 174400000X with license number 35087489 (OH). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mr. Kristopher J Kelly M.d. (Owner)

NPI
1083973903
Provider Name
KRISTOPHER J. KELLY LLC
Entity Type
Organization
Location Address
5655 MONCLOVA RD MAUMEE, OH 43537
Location Phone
(419) 893-4883
Location Fax
(419) 893-2312
Mailing Address
5655 MONCLOVA RD MAUMEE, OH 43537
Mailing Phone
(419) 893-4883
Mailing Fax
(419) 893-2312
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2012
Last Update Date
05-12-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
35087489
License State
OH
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway 8500 for HSA - HMO
  • Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway 5500 for HSA - HMO
  • Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. KRISTOPHER J KELLY M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(419) 893-4883

Reviews for KRISTOPHER J. KELLY LLC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083973903, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 8 + 7 + 6 + 9 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1083973903.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Ophthalmology
5655 MONCLOVA RD
MAUMEE, OH 43537
Ophthalmology
5655 MONCLOVA RD
MAUMEE, OH 43537
Ophthalmology
5655 MONCLOVA RD
MAUMEE, OH 43537
Ophthalmology
5655 MONCLOVA RD
MAUMEE, OH 43537

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083973903, enumerated as an "organization" on May 12, 2012.

The provider is located at 5655 MONCLOVA RD MAUMEE, OH 43537 and the phone number is (419) 893-4883.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.