DR. DAVID KELLY MD
NPI 1124446687
Surgery in Fresno, CA

Active since April 02, 2014PECOS EnrolledAccepts Medicare Assignment
15 E AUDUBON DR, FRESNO, CA 93720(314) 749-1487 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 9, 2019, May 20, 2019 (2 updates tracked since 2019).

About Dr. David Kelly Md NPPES

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

DR. DAVID KELLY MD (NPI 1124446687) is an individual surgery provider in Fresno, California, licensed in Illinois (036153561) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (2014).

NPPES Registry Identity

NPI1124446687
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. DAVID KELLYCredential: MD
Location Address15 E AUDUBON DRFresno, CA 93720-1542
Mailing Address120 Meadow Ridge TownhomesMorgantown, WV 26505-3075 · (314) 749-1487
Sole ProprietorNo
Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 2014
Enumeration DateApril 2, 2014
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
NPI 1124446687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IL · 036153561
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

15 E AUDUBON DR, Fresno, CA 93720

Accepted Insurance

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. David Kelly Md 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 ID3678875267
PECOS Enrollment IDI20201006000339
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 3

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.
96 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 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.
16 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
15 E AUDUBON DR
FRESNO, CA 93720
Radiology (Diagnostic Radiology)
15 E AUDUBON DR
FRESNO, CA 93720
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
15 E AUDUBON DR
FRESNO, CA 93720
Pharmacist
15 E AUDUBON DR
FRESNO, CA 93720
Internal Medicine
15 E AUDUBON DR
FRESNO, CA 93720
Clinical Nurse Specialist
15 E AUDUBON DR
FRESNO, CA 93720
Internal Medicine
15 E AUDUBON DR
FRESNO, CA 93720

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 David Kelly's NPI number?

The NPI number for David Kelly is 1124446687. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is David Kelly located?

David Kelly practices at 15 E Audubon Dr, Fresno, CA 93720. The listed phone number is (314) 749-1487.

What is David Kelly's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is David Kelly enrolled in Medicare?

Yes. David 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.

What insurance does David Kelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list David Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Kelly affiliated with any hospitals?

According to CMS data, David Kelly is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for David Kelly was last updated on August 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.