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THOMAS KELLY M.D.
NPI 1093823130
Internal Medicine - Endocrinology, Diabetes & Metabolism in Wauwatosa, WI

Active since August 28, 2006PECOS Enrolled
201 NTH MAYFAIR RD, 2ND FLOOR, WAUWATOSA, WI 53226(414) 771-8228(414) 256-2483 Get Directions Write a Review

NPPES record last updated: September 22, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas Kelly M.d. NPPES

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

THOMAS KELLY M.D. (NPI 1093823130) is an individual endocrinology, diabetes & metabolism provider in Wauwatosa, Wisconsin, licensed in Wisconsin (31137) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093823130
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameTHOMAS KELLYCredential: M.D.
Location Address201 NTH MAYFAIR RD, 2ND FLOORWauwatosa, WI 53226
Mailing Address201 Nth Mayfair Rd, 2nd FloorWauwatosa, WI 53226 · (414) 771-8228 · Fax (414) 256-2483
Phone(414) 771-8228
Fax(414) 256-2483
Sole ProprietorNo
Enumeration DateAugust 28, 2006
Last NPPES UpdateSeptember 22, 2008
✔ NPI 1093823130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in WI · 31137
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
201 NTH MAYFAIR RD, Wauwatosa, WI 53226
Open in Google Maps ↗

Other Identifiers 3

Medicare UPIND07380WI
Medicare ID-Type Unspecified73840, 02445WI
Medicaid31597200WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Kelly M.d. 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 Reassignment

Medicare enrollment records show Thomas Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ascension Medical Group-Southeast Wisconsin Inc
8.3 mi
Internal Medicine
400 W RIVER WOODS PKWY
Glendale, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1609881077 (414) 465-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1093823130. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Thomas Kelly located?

Thomas Kelly practices at 201 Nth Mayfair Rd 2nd Floor, Wauwatosa, WI 53226. The listed phone number is (414) 771-8228.

What is Thomas Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Thomas Kelly enrolled in Medicare?

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

Which organization bills Medicare for Thomas Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kelly reassigns Medicare benefits to Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI). The 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 Thomas Kelly'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 Thomas Kelly was last updated on September 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.