DOUGLAS W KELLY MD PC
NPI 1205171402
Orthopaedic Surgery in Phoenix, AZ

NPI Status: Active since November 29, 2012

Contact Information

5501 N 19TH AVE
SUITE 432
PHOENIX, AZ
ZIP 85015
Phone: (602) 242-7691
Fax: (602) 242-7265

Get Directions Write a Review

  • Organization
  • Orthopaedic Surgery

About DOUGLAS W KELLY MD PC

This page provides the complete NPI Profile along with additional information for Douglas W Kelly Md Pc, a provider established in Phoenix, Arizona operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1205171402 assigned on November 2012. The practitioner's primary taxonomy code is 207X00000X with license number 12896 (AZ). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Douglas W Kelly M.d. (President)

NPI
1205171402
Provider Name
DOUGLAS W KELLY MD PC
Entity Type
Organization
Location Address
5501 N 19TH AVE SUITE 432 PHOENIX, AZ 85015
Location Phone
(602) 242-7691
Location Fax
(602) 242-7265
Mailing Address
5501 N 19TH AVE SUITE 432 PHOENIX, AZ 85015
Mailing Phone
(602) 242-7691
Mailing Fax
(602) 242-7265
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2012
Last Update Date
11-29-2012
Code Navigator

Location Map

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

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
12896
License State
AZ
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DOUGLAS W KELLY M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(602) 242-7691

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z0000BGLGFMEDICARE PIN (08)AZ 

Reviews for DOUGLAS W KELLY MD PC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1205171402, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 0 + 5 + 2 + 7 + 2 + 4 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1205171402.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Dentist (General Practice)
5501 N 19TH AVE, SUITE 103
PHOENIX, AZ 85015
Orthopaedic Surgery (Sports Medicine)
5501 N 19TH AVE, 432
PHOENIX, AZ 85015
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Dentist (General Practice)
5501 N 19TH AVE, SUITE 103
PHOENIX, AZ 85015
Clinic/Center (Dental)
5501 N 19TH AVE, SUITE 103
PHOENIX, AZ 85015
Specialist
5501 N 19TH AVE, SUITE 310
PHOENIX, AZ 85015
Clinic/Center (Radiology)
5501 N 19TH AVE, SUITE 111
PHOENIX, AZ 85015
Anesthesiology (Pain Medicine)
5501 N 19TH AVE
PHOENIX, AZ 85015
Nurse Practitioner (Family)
5501 N 19TH AVE
PHOENIX, AZ 85015
Family Medicine
5501 N 19TH AVE, 218
PHOENIX, AZ 85015
Orthopaedic Surgery (Hand Surgery)
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Orthopaedic Surgery
5501 N 19TH AVE, STE 331
PHOENIX, AZ 85015
Dentist
5501 N 19TH AVE, SUIT 305
PHOENIX, AZ 85015
Psychiatry & Neurology (Psychiatry)
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Family Medicine
5501 N 19TH AVE, STE 103
PHOENIX, AZ 85015
Nurse Practitioner (Psychiatric/Mental Health)
5501 N 19TH AVE
PHOENIX, AZ 85015
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Behavior Technician
5501 N 19TH AVE
PHOENIX, AZ 85015
Registered Nurse (Home Health)
5501 N 19TH AVE
PHOENIX, AZ 85015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205171402, enumerated as an "organization" on November 29, 2012.

The provider is located at 5501 N 19TH AVE SUITE 432 PHOENIX, AZ 85015 and the phone number is (602) 242-7691.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.