1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

ANDREW KELLEY MD
NPI 1215787635
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 26, 2024PECOS Enrolled
395 W 12TH AVE FL 3, COLUMBUS, OH 43210(614) 293-3989(614) 293-9789 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrew Kelley Md NPPES

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

ANDREW KELLEY MD (NPI 1215787635) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215787635
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANDREW KELLEYCredential: MD
Location Address395 W 12TH AVE FL 3Columbus, OH 43210-1267
Mailing Address395 W 12th Ave Fl 3Columbus, OH 43210-1267 · (614) 293-3989 · Fax (614) 293-9789
Phone(614) 293-3989
Fax(614) 293-9789
Sole ProprietorYes
Enumeration DateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1215787635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
395 W 12TH AVE FL 3, Columbus, OH 43210
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Kelley Md 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.

Other Providers at the Same Location NPPES 20

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

CODY NICHOLAS JUSTICE
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
TANVI BAFNA MD, MPH
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
MR. WILLIAM JOHN PELLEGRINO
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
KAMEL AOUN
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
DR. ANTHONY MANSOUR
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
NICOLE VARDA MD
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
CLIFFORD WILFRED UKARAJIT
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
NICOLE DANIELLE HESS MD
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989

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 Andrew Kelley's NPI number?

The NPI number for Andrew Kelley is 1215787635. It was assigned to this individual provider in the NPPES registry on March 26, 2024.

Where is Andrew Kelley located?

Andrew Kelley practices at 395 W 12th Ave Fl 3, Columbus, OH 43210. The listed phone number is (614) 293-3989.

What is Andrew Kelley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Andrew Kelley enrolled in Medicare?

Yes. Andrew Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrew Kelley was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.