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KELLEY SPORTS MEDICINE INC
NPI 1144486903
Orthopaedic Surgery in Temecula, CA

Active since July 31, 2008
40949 WINCHESTER RD, TEMECULA, CA 92591(951) 296-6676(951) 296-6675 Get Directions Write a Review

NPPES record last updated: February 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kelley Sports Medicine Inc NPPES

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

KELLEY SPORTS MEDICINE INC (NPI 1144486903) is a healthcare organization registered as an orthopaedic surgery in Temecula, California and active in the NPI registry since July 2008. The organization lists Steven Thomas Kelley, President, as its authorized official.

NPPES Registry Identity

NPI1144486903
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameKELLEY SPORTS MEDICINE INC
Location Address40949 WINCHESTER RDTemecula, CA 92591-6031
Mailing Address40949 Winchester RdTemecula, CA 92591-6031 · (951) 296-6676 · Fax (951) 296-6675
Phone(951) 296-6676
Fax(951) 296-6675
Organization SubpartNo
Authorized OfficialSteven Thomas KelleyPresident · (951) 296-6676
Enumeration DateJuly 31, 2008
Last NPPES UpdateFebruary 20, 2014
✔ NPI 1144486903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CA · A78913
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
40949 WINCHESTER RD, Temecula, CA 92591
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Other Identifiers 2

Medicare UPIN69911750001CA
Medicare PINFO771ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelley Sports Medicine Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Kelley Sports Medicine Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Steven Kelley, M.D.
Orthopedic Surgery
NPI 1194733402
40949 WINCHESTER RD
Temecula, CA 92591
(951) 296-6676
✔ PECOS✔ Accepts MedicareSame address
Jacob Vandenmeerendonk, DPT
Physical Therapist in Private Practice
NPI 1639586423
40680 CALIFORNIA OAKS RD SUITE 2A
Murrieta, CA 92562
(951) 894-4800
✔ Accepts Medicare4.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kelley Sports Medicine Inc's NPI number?

The NPI number for Kelley Sports Medicine Inc is 1144486903. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is Kelley Sports Medicine Inc located?

Kelley Sports Medicine Inc is located at 40949 Winchester Rd, Temecula, CA 92591. The listed phone number is (951) 296-6676.

What is Kelley Sports Medicine Inc's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kelley Sports Medicine Inc enrolled in Medicare?

Yes. Kelley Sports Medicine Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kelley Sports Medicine Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kelley Sports Medicine Inc, in Orthopedic Surgery and Physical Therapist in Private Practice. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kelley Sports Medicine Inc was last updated on February 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.