DR. KELLY ANDRE JARRETT M.D.
NPI 1124339080
Family Medicine in Brooklyn, NY
About Dr. Kelly Andre Jarrett M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY ANDRE JARRETT M.D. (NPI 1124339080) is an individual family medicine provider in Brooklyn, New York, licensed in New York (281898) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of University Of Miami, Lm Miller School Of Medicine (2010).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kelly Andre Jarrett 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.
Medicare Billing Reassignments
4Medicare enrollment records show Kelly Jarrett reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11212
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Griffin Myers Medical PC
- 101 clinicians in this Medicare group
Brooklyn, NY 11207
- Reassigned Medicare billing, New York enrollment
- 30 clinicians in this Medicare group
New York, NY 10128
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Quickmed Medical PC
- 7 clinicians in this Medicare group
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 971 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelly Jarrett's NPI number?
The NPI number for Kelly Jarrett is 1124339080. It was assigned to this individual provider in the NPPES registry on June 25, 2010.
Where is Kelly Jarrett located?
Kelly Jarrett practices at 455 Sutter Ave, Brooklyn, NY 11212. The listed phone number is (718) 765-6550.
What is Kelly Jarrett's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kelly Jarrett enrolled in Medicare?
Yes. Kelly Jarrett 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.
Which organizations bill Medicare for Kelly Jarrett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Jarrett reassigns Medicare benefits to 4 organizations: Oak Street Health Of New York Medical Group PC (Brooklyn, NY), Startcare, Inc. (Brooklyn, NY), Quickmed Medical P.C. (New York, NY) and Downtown Bronx Medical Associates PC (Bronx, NY). Each 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 Kelly Jarrett'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 Kelly Jarrett was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Dr. Kelly Andre Jarrett, M.D. · NPI 1124339080
Family Medicine physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since June 25, 2010.
## Identity
- **NPI:** 1124339080 (Entity type: Individual)
- **Enumerated:** June 25, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 281898 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 455 SUTTER AVE, Brooklyn, NY 11212-8111
- **Phone:** (718) 765-6550 · **Fax:** (347) 620-9739
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Oak Street Health Of New York Medical Group PC (NPI 1780209445, Brooklyn, NY); Startcare, Inc. (NPI 1306896816, Brooklyn, NY); Quickmed Medical P.C. (NPI 1003253030, New York, NY); Downtown Bronx Medical Associates PC (NPI 1689618407, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1124339080) · Data from the CMS NPPES public registry.