Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PETER R. KELLY M.D.
NPI 1265412779
Specialist in Coronado, CA

Active since January 19, 2006PECOS Enrolled
1224 10TH ST, SUITE 205, CORONADO, CA 92118(619) 435-0186(619) 435-0594 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Peter R. Kelly M.d. NPPES

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

DR. PETER R. KELLY M.D. (NPI 1265412779) is an individual specialist in Coronado, California, licensed in California (G29430) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265412779
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PETER R. KELLYCredential: M.D.
Location Address1224 10TH ST, SUITE 205Coronado, CA 92118-3416
Mailing Address1224 10th StCoronado, CA 92118-3420 · (619) 435-0186 · Fax (619) 435-0594
Fax(619) 435-0594
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1265412779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G29430
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1224 10TH ST, Coronado, CA 92118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Peter R. Kelly M.d. 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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,019 services426 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
161 services99 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
123 services93 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
121 services121 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
40 services21 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services27 patients

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers14 claims14 services$34.57 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers11 claims11 services$47.15 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers17 claims102 services$1.76 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
1 supplier23 claims23 services$44.22 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier21 claims21 services$24.22 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers54 claims54 services$57.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Pediatrics
1224 10TH ST, SUITE 200
CORONADO, CA 92118
Specialist
1224 10TH ST, STE 205
CORONADO, CA 92118
Psychologist (Clinical)
1224 10TH ST, STE 208
CORONADO, CA 92118
Physical Therapist
1224 10TH ST, SUITE 204
CORONADO, CA 92118
Clinic/Center (Physical Therapy)
1224 10TH ST, SUITE 204
CORONADO, CA 92118
Physical Therapist
1224 10TH ST, SUITE 204
CORONADO, CA 92118
Family Medicine
1224 10TH ST, SUITE 200
CORONADO, CA 92118
Marriage & Family Therapist
1224 10TH ST, SUITE 206
CORONADO, CA 92118

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 Peter Kelly's NPI number?

The NPI number for Peter Kelly is 1265412779. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Peter Kelly located?

Peter Kelly practices at 1224 10th St Suite 205, Coronado, CA 92118. The listed phone number is (619) 435-0186.

What is Peter Kelly's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter Kelly enrolled in Medicare?

Yes. Peter Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Kelly was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.