DR. KEVIN R. KELLY M.D.
NPI 1093963712
Internal Medicine - Hematology & Oncology in Los Angeles, CA

Active since September 06, 2008PECOS EnrolledAccepts Medicare Assignment
1441 EASTLAKE AVE, 8302E, LOS ANGELES, CA 90089(323) 865-3950 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin R. Kelly M.d. NPPES

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

DR. KEVIN R. KELLY M.D. (NPI 1093963712) is an individual hematology & oncology provider in Los Angeles, California, licensed in California (A143303) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1093963712
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KEVIN R. KELLYCredential: M.D.
Location Address1441 EASTLAKE AVE, 8302ELos Angeles, CA 90089-0112
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 865-3950
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 6, 2008
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
NPI 1093963712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in CA · A143303 Licensed in TX · 42642
Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1441 EASTLAKE AVE, Los Angeles, CA 90089

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. Kevin R. 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 ID5395890990
PECOS Enrollment IDI20140630000572
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 9

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.
159 services65 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
119 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.
55 services45 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.
51 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services20 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.
22 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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.

Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Physician Assistant (Surgical)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Dermatology
1441 EASTLAKE AVE, TOPPING TOWER, SUITE 3405
LOS ANGELES, CA 90089
Nurse Practitioner (Acute Care)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Dietitian, Registered
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Surgery (Surgical Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1441 EASTLAKE AVE
LOS ANGELES, CA 90089

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 Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1093963712. It was assigned to this individual provider in the NPPES registry on September 6, 2008.

Where is Kevin Kelly located?

Kevin Kelly practices at 1441 Eastlake Ave 8302E, Los Angeles, CA 90089. The listed phone number is (323) 865-3950.

What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kevin Kelly enrolled in Medicare?

Yes. Kevin 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 Kevin Kelly was last updated on November 18, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.