MARSHALL KELLEY M.D.
NPI 1164429114
Pediatrics in Lawrence, KS

Q: What is Marshall Kelley's NPI number?

The NPI number for Marshall Kelley is 1164429114. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Q: What is Marshall Kelley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Marshall Kelley was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since July 06, 2005PECOS Enrolled

1803 W 6TH ST, LAWRENCE, KS 66044(785) 841-7297(785) 856-0375 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Marshall Kelley M.d. NPPES

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

MARSHALL KELLEY M.D. (NPI 1164429114) is an individual pediatrics provider in Lawrence, Kansas, licensed in Kansas (0422669) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lawrence.

NPPES Registry Identity

NPI1164429114

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameMARSHALL KELLEYCredential: M.D.

Location Address1803 W 6TH STLawrence, KS 66044-1710

Mailing Address1312 W 6th StLawrence, KS 66044-2219 · (785) 841-7297 · Fax (785) 856-0375

Phone(785) 841-7297

Fax(785) 856-0375

Sole ProprietorNo

Enumeration DateJuly 6, 2005

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1164429114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KS · 0422669

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1803 W 6TH ST, Lawrence, KS 66044

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Secondary Practice Location 1

Location 11312 W 6th StLawrence, KS 66044-2219 · Phone (785) 841-7297 · Fax (785) 856-0375

Other Identifiers 1

Medicaid100149670AKS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marshall Kelley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Marshall Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heartland Medical Clinic, Inc

Same address

Federally Qualified Health Center (FQHC)

1803 W 6TH ST
Lawrence, KS 66044

Reassigned Medicare billing, Kansas enrollment
38 clinicians in this Medicare group

NPI 1356941306 (785) 841-7297

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66044 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

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

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 14

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

MAUREEN CARO NP

Nurse Practitioner (Family)