KEVIN VINCENT KELLY MD
NPI 1114093036
Psychiatry & Neurology - Psychiatry in New York, NY

Active since November 24, 2006Opted out of Medicare · through Oct 29, 2027
230 E 73RD ST STE 1A, NEW YORK, NY 10021(212) 348-9661 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Vincent Kelly Md NPPES

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

KEVIN VINCENT KELLY MD (NPI 1114093036) is an individual psychiatry provider in New York, New York, licensed in New York (146613) and active in the NPI registry since November 2006. He has opted out of Medicare through October 29, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114093036
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKEVIN VINCENT KELLYCredential: MD
Location Address230 E 73RD ST STE 1ANew York, NY 10021-4320
Mailing Address230 E 73rd St Ste 1aNew York, NY 10021-4320 · (212) 348-9661
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateJune 10, 2024
NPPES CertifiedJune 10, 2024
NPI 1114093036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 146613
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
230 E 73RD ST STE 1A, New York, NY 10021

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kevin Vincent Kelly Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 29, 2013 through October 29, 2027.

Opt-Out Effective DateOctober 29, 2013
Opt-Out In Effect ThroughOctober 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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 1114093036. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Kevin Kelly located?

Kevin Kelly practices at 230 E 73rd St Ste 1A, New York, NY 10021. The listed phone number is (212) 348-9661.

What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kevin Kelly enrolled in Medicare?

No. Kevin Kelly has opted out of Medicare through October 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.