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DR. POLINA ROVNER KELLY M.D.
NPI 1205279577
Obstetrics & Gynecology in Denver, CO

Active since April 16, 2013PECOS EnrolledAccepts Medicare Assignment
4600 E 9TH AVE STE 350, DENVER, CO 80220(303) 321-2166(303) 861-7211 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2024, Jan 31, 2022, Jul 7, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Polina Rovner Kelly M.d. NPPES

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

DR. POLINA ROVNER KELLY M.D. (NPI 1205279577) is an individual obstetrics & gynecology provider in Denver, Colorado, licensed in Colorado (DR.0058696) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205279577
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. POLINA ROVNER KELLYCredential: M.D.
Location Address4600 E 9TH AVE STE 350Denver, CO 80220-4069
Mailing Address4600 E 9th Ave Ste 350Denver, CO 80220-4069 · (303) 321-2166 · Fax (303) 861-7211
Phone(303) 321-2166
Fax(303) 861-7211
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 16, 2013
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1205279577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CO · DR.0058696
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4600 E 9TH AVE STE 350, Denver, CO 80220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Polina Rovner Kelly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921240870
PECOS Enrollment IDI20171009002881
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 Polina Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthone Clinic Services - Obstetrics And Gynecology LLC
6.2 mi
Obstetrics & Gynecology
1400 S POTOMAC ST STE 220
Aurora, CO 80012
  • Reassigned Medicare billing, Colorado enrollment
  • 78 clinicians in this Medicare group
NPI 1831397215 (303) 690-2198

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 80220 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
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 11

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

ELLEN MOORE MD
Obstetrics & Gynecology
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (720) 625-3585
JILL N SERRAHN MD
Obstetrics & Gynecology
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (303) 321-2166
MARIA SIMON
Nurse Practitioner (Women's Health)
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (303) 321-2166
SARAH TAKIMOTO MD
Obstetrics & Gynecology
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (303) 321-2166
DR. CRISTEE LOCKE OFFERDAHL M.D.
Obstetrics & Gynecology
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (303) 321-2166
LISA S SCHWEBACH MD
Obstetrics & Gynecology
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (303) 321-2166
ELIZABETH ANN HOFFMAN MD
Obstetrics & Gynecology
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (303) 321-2166
HEALTHONE CLINIC SERVICES - OBSTETRICS AND GYNECOLOGY LLC
Obstetrics & Gynecology
4600 E 9TH AVE STE 350
DENVER, CO 80220
Denver County (303) 321-2166

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 Polina Kelly's NPI number?

The NPI number for Polina Kelly is 1205279577. It was assigned to this individual provider in the NPPES registry on April 16, 2013.

Where is Polina Kelly located?

Polina Kelly practices at 4600 E 9th Ave Ste 350, Denver, CO 80220. The listed phone number is (303) 321-2166.

What is Polina Kelly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Polina Kelly enrolled in Medicare?

Yes. Polina Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Polina Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polina Kelly reassigns Medicare benefits to Healthone Clinic Services - Obstetrics And Gynecology LLC (Aurora, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Polina Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Polina Kelly accept?

Health plans from UnitedHealthcare list Polina Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Polina Kelly was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.