KELLY MANN M.D
NPI 1164683728
Pediatrics in Pasadena, CA

Q: What is Kelly Mann's NPI number?

The NPI number for Kelly Mann is 1164683728. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Q: What is Kelly Mann'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 Kelly Mann was last updated on August 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2008PECOS Enrolled

2055 LINCOLN AVE, PASADENA, CA 91103(626) 398-6300 Get Directions Write a Review

NPPES record last updated: August 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Kelly Mann M.d NPPES

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

KELLY MANN M.D (NPI 1164683728) is an individual pediatrics provider in Pasadena, California, licensed in California (C151520) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1164683728

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameKELLY MANNCredential: M.D

Location Address2055 LINCOLN AVEPasadena, CA 91103

Mailing Address455 W Montana StPasadena, CA 91103-1327 · (626) 993-1221 · Fax (626) 204-0086

Phone(626) 398-6300

Sole ProprietorNo

Enumeration DateJune 17, 2008

Last NPPES UpdateAugust 7, 2019

✔ NPI 1164683728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · C151520

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.

2055 LINCOLN AVE, Pasadena, CA 91103

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Secondary Practice Location 1

Location 13 E 101st St, Apt# 6ENew York, NY 10029-6528 · Phone (212) 241-6930 · Fax (212) 426-4813

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Mann 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91103 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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