JOHN KELLY MD
NPI 1265540686
Internal Medicine in Bloomfield, NJ
About John Kelly Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN KELLY MD (NPI 1265540686) is an individual internal medicine provider in Bloomfield, New Jersey, licensed in New Jersey (MA51866) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 2, 2027, and is affiliated with Clara Maass Medical Center.
NPPES Registry Identity
Specialties & Licenses
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Kelly Md 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.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D0673797
John V Kelly MD PC · Bloomfield, NJAreas of Expertise CMS Part B claims 30
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Clara Maass Medical Center
Acute Care Hospitals · Belleville, NJHackensack Meridian Health, Mountainside Medical
Acute Care Hospitals · Montclair, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 8
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMFIELD, NJ 07003
BLOOMFIELD, NJ 07003
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 John Kelly's NPI number?
The NPI number for John Kelly is 1265540686. It was assigned to this individual provider in the NPPES registry on August 27, 2006.
Where is John Kelly located?
John Kelly practices at 382 W Passaic Ave, Bloomfield, NJ 07003. The listed phone number is (973) 338-1900.
What is John Kelly's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is John Kelly enrolled in Medicare?
Yes. John 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.
Does John Kelly hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0673797) is associated with this NPI, valid through September 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does John Kelly accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list John 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.
Is John Kelly affiliated with any hospitals?
According to CMS data, John Kelly is affiliated with Clara Maass Medical Center and Hackensack Meridian Health, Mountainside Medical.
When was this NPI record last updated?
The NPPES record for John Kelly was last updated on August 21, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.
