MR. JAMES PATRICK KELLY MD, MBA
NPI 1174608442
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Granger, IN

Q: What is James Kelly's NPI number?

The NPI number for James Kelly is 1174608442. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Q: What is James Kelly's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Q: When was this NPI record last updated?

The NPPES record for James Kelly was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since October 26, 2006

17022 SHANDWICK LANE, GRANGER, IN 46530(574) 277-9156(574) 271-5639 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. James Patrick Kelly Md, Mba NPPES

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

MR. JAMES PATRICK KELLY MD, MBA (NPI 1174608442) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Granger, Indiana, licensed in Indiana (1034778A) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174608442

Entity TypeIndividualMale

Primary Taxonomy208G00000X

Provider Legal NameMR. JAMES PATRICK KELLYCredential: MD, MBA

Location Address17022 SHANDWICK LANEGranger, IN 46530

Mailing Address17022 Shandwick LaneGranger, IN 46530 · (574) 277-9156 · Fax (574) 271-5639

Phone(574) 277-9156

Fax(574) 271-5639

Sole ProprietorYes

Enumeration DateOctober 26, 2006

Last NPPES UpdateJanuary 15, 2016

✔ NPI 1174608442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Licenses✔ Licensed in IN · 1034778A✔ Licensed in IN · 01034778

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

17022 SHANDWICK LANE, Granger, IN 46530

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Other Identifiers 3

Medicare UPINB89029

Medicare ID-Type Unspecified162710B

Medicaid100193010AIN

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 James Kelly's NPI number?

The NPI number for James Kelly is 1174608442. It was assigned to this individual provider in the NPPES registry on October 26, 2006.

Where is James Kelly located?

James Kelly practices at 17022 Shandwick Lane, Granger, IN 46530. The listed phone number is (574) 277-9156.

What is James Kelly's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.