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MR. MICHAEL DAVID KELLY DC
NPI 1124106596
Chiropractor in Bloomingdale, IL

Active since November 01, 2006Accepts Medicare Assignment
132 S RIDGE AVE, UNIT B, BLOOMINGDALE, IL 60108(630) 893-7313(630) 893-7453 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael David Kelly Dc NPPES

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

MR. MICHAEL DAVID KELLY DC (NPI 1124106596) is an individual chiropractor in Bloomingdale, Illinois, licensed in Illinois (038006619) and active in the NPI registry since November 2006. He is a graduate of National College Of Chiropractic (1989).

NPPES Registry Identity

NPI1124106596
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. MICHAEL DAVID KELLYCredential: DC
Location Address132 S RIDGE AVE, UNIT BBloomingdale, IL 60108-1216
Mailing Address160 S Bloomingdale Rd, Ste DBloomingdale, IL 60108-1455 · (630) 893-7313 · Fax (630) 893-7453
Phone(630) 893-7313
Fax(630) 893-7453
Sole ProprietorNo
Medical School CMSNational College Of ChiropracticGraduated 1989
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 6, 2019
✔ NPI 1124106596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in IL · 038006619
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
132 S RIDGE AVE, Bloomingdale, IL 60108
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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

Mr. Michael David Kelly Dc 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 ID5991706178
PECOS Enrollment IDI20070131000329

Areas of Expertise CMS Part B claims

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.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
304 services28 patients

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1124106596. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Michael Kelly located?

Michael Kelly practices at 132 S Ridge Ave Unit B, Bloomingdale, IL 60108. The listed phone number is (630) 893-7313.

What is Michael Kelly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Michael Kelly enrolled in Medicare?

Yes. Michael 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 Michael Kelly was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.