JOHN JOSEPH KELLY IV MD
NPI 1174150163
Orthopaedic Surgery - Sports Medicine in Rochester, MN
NPI Status: Active since March 27, 2020
Contact Information
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Individual
- Male
- Orthopaedic Surgery
- Sports Medicine
About JOHN KELLY
This page provides the complete NPI Profile along with additional information for John Kelly, a provider established in Rochester, Minnesota with a medical specialization in Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1174150163 assigned on March 2020. The practitioner's primary taxonomy code is 207XX0005X with license number 79276 (MN). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1174150163
- Provider Name
- JOHN JOSEPH KELLY IV MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 200 1ST ST SW ROCHESTER, MN 55905
- Location Phone
- (507) 284-2511
- Mailing Address
- PO BOX 860912 MINNEAPOLIS, MN 55486
- Mailing Phone
- (507) 284-2511
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-27-2020
- Last Update Date
- 08-01-2025
- Code Navigator
Location Map
Secondary Locations
- 1222 S. Orange Avenue 5th FL, MP#43
Orlando, FL 32806
(321) 841-1764
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 79276
- License State
- MN
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 1 | 7 | 4 | 1 | 5 | 0 | 1 | 6 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 14 | 4 | 2 | 5 | 0 | 1 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 1 + 1 + 4 + 4 + 2 + 5 + 0 + 1 + 1 + 2 + 24 = 47 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
50 - 47 = 3 | 3 |
The NPI number 1174150163 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CHRISTINE MARIA MILLER MD, PHD
Radiology
(Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
DR. EMIL D. KORETZKY MD
Dermatology
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
GLADYS A RADKE PAC
Physician Assistant
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
MRS. KILEY JO JOHNSON M.S.
Genetic Counselor, MS
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
LISA K BUSS PHARM.D.
Pharmacist
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
DAVID R DAUGHERTY M.D.
Psychiatry & Neurology
(Psychiatry)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
RENATO D ALARCON M.D.
Psychiatry & Neurology
(Psychiatry)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
TANYA MARIE CADDELL R.PH.
Pharmacist
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
MIGUEL E CABANELA M.D.
Orthopaedic Surgery
(Adult Reconstructive Orthopaedic Surgery)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
RONALD J FAUST M.D.
Anesthesiology
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
MICHAEL A FARRELL M.D.
Radiology
(Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
JAMES N INGLE M.D.
Internal Medicine
(Medical Oncology)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
ROSALINA L ABBOUD M.D.
Obstetrics & Gynecology
(Gynecology)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
DAVID R FARLEY M.D.
Surgery
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
PAUL F MCGOUGH M.D.
Radiology
(Diagnostic Radiology)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
DANIEL J BLUM M.D.
Otolaryngology
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
JOHN B COLLINS M.D.
Family Medicine
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
TENG JI M.D.
Pediatrics
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
IAN P CLEMENTS M.D.
Internal Medicine
(Cardiovascular Disease)
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
JODI ANN COOK PH. D.
Audiologist
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174150163, enumerated as an "individual" on March 27, 2020.
The provider is located at 200 1ST ST SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.