1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Physician Assistant
  6. NPI Profile

JOHN M O'KELLY PA-C
NPI 1265629349
Physician Assistant in Philadelphia, PA

Active since October 02, 2007PECOS Enrolled
1020 SANSOM ST, SUITE 239, PHILADELPHIA, PA 19107(215) 955-6844(215) 955-2526 Get Directions Write a Review

NPPES record last updated: August 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M O'kelly Pa-c NPPES

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

JOHN M O'KELLY PA-C (NPI 1265629349) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA053209) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265629349
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN M O'KELLYCredential: PA-C
Location Address1020 SANSOM ST, SUITE 239Philadelphia, PA 19107-5002
Mailing Address1020 Sansom St, Suite 239Philadelphia, PA 19107-5002 · (215) 955-6844 · Fax (215) 955-2526
Phone(215) 955-6844
Fax(215) 955-2526
Sole ProprietorNo
Enumeration DateOctober 2, 2007
Last NPPES UpdateAugust 30, 2016
✔ NPI 1265629349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA053209
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1020 SANSOM ST, Philadelphia, PA 19107
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)

John M O'kelly Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

DR. RIKA N OMALLEY M.D.
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
DR. SHRUTI CHANDRA MD
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
DR. ALEXANDER A KLEINMANN M.D.
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
MS. BONNIE ROBERTSON CRNP
Nurse Practitioner (Family)
1020 SANSOM ST, TJU, 239 THOMPSON BLDG
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-4442
ANNA MARIE CHIAYU CHANG MD
Emergency Medicine
1020 SANSOM ST, SUITE 239
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
VICTORIA KIM LERI
Nurse Practitioner (Acute Care)
1020 SANSOM ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
DR. DANIEL HANA HALPREN-RUDER M.D.
Emergency Medicine
1020 SANSOM ST
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-6844
CHRISTINA HARTWELL
Nurse Practitioner (Adult Health)
1020 SANSOM ST, 239 THOMPSON BUILDING
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-4356

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 O'kelly's NPI number?

The NPI number for John O'kelly is 1265629349. It was assigned to this individual provider in the NPPES registry on October 2, 2007.

Where is John O'kelly located?

John O'kelly practices at 1020 Sansom St Suite 239, Philadelphia, PA 19107. The listed phone number is (215) 955-6844.

What is John O'kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John O'kelly enrolled in Medicare?

Yes. John O'kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John O'kelly was last updated on August 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.