JAMES E. KELLY M.D. LLC
NPI 1235413790
Urology in Saint Louis, MO

Active since October 03, 2011
3915 WATSON RD STE 203, SAINT LOUIS, MO 63109(314) 771-5822(314) 771-5827 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James E. Kelly M.d. Llc NPPES

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

JAMES E. KELLY M.D. LLC (NPI 1235413790) is a healthcare organization registered as an urology in Saint Louis, Missouri and active in the NPI registry since October 2011. The organization lists James E. Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1235413790
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJAMES E. KELLY M.D. LLC
Location Address3915 WATSON RD STE 203Saint Louis, MO 63109-1251
Mailing Address3915 Watson Rd Ste 203Saint Louis, MO 63109-1251 · (314) 771-5822 · Fax (314) 771-5827
Fax(314) 771-5827
Organization SubpartNo
Authorized OfficialJames E. KellyOwner · (314) 771-5822
Enumeration DateOctober 3, 2011
Last NPPES UpdateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
✔ NPI 1235413790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MO · 2006017916
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
3915 WATSON RD STE 203, Saint Louis, MO 63109

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James E. Kelly M.d. Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to James E. Kelly M.D. LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Urology
NPI 1053377333
3915 WATSON RD STE 203
Saint Louis, MO 63109
(314) 771-5822
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 E. Kelly M.D. LLC's NPI number?

The NPI number for James E. Kelly M.D. LLC is 1235413790. It was assigned to this organization in the NPPES registry on October 3, 2011.

Where is James E. Kelly M.D. LLC located?

James E. Kelly M.D. LLC is located at 3915 Watson Rd Ste 203, Saint Louis, MO 63109. The listed phone number is (314) 771-5822.

What is James E. Kelly M.D. LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is James E. Kelly M.D. LLC enrolled in Medicare?

Yes. James E. Kelly M.D. LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through James E. Kelly M.D. LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to James E. Kelly M.D. LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does James E. Kelly M.D. LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list James E. Kelly M.D. LLC 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 James E. Kelly M.D. LLC was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.