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

JESSE KEITH KELLEY MD
NPI 1295364388
Surgery in Carmel, IN

Q: What is Jesse Kelley's NPI number?

The NPI number for Jesse Kelley is 1295364388. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Q: What is Jesse Kelley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Kelley was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since April 02, 2020PECOS Enrolled

11725 ILLINOIS ST, CARMEL, IN 46032(317) 688-4864 Get Directions Write a Review

NPPES record last updated: August 4, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2026, Jul 24, 2026, Apr 6, 2026 and 2 more (5 updates tracked since 2020).

On this page

About Jesse Keith Kelley Md NPPES

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

JESSE KEITH KELLEY MD (NPI 1295364388) is an individual surgery provider in Carmel, Indiana, licensed in Indiana (01099214A) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Carmel.

NPPES Registry Identity

NPI1295364388

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameJESSE KEITH KELLEYCredential: MD

Location Address11725 ILLINOIS STCarmel, IN 46032-3008

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(317) 688-4864

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2020

Enumeration DateApril 2, 2020

Last NPPES UpdateAugust 4, 20265 updates tracked since enumeration

NPPES CertifiedAugust 4, 2026

✔ NPI 1295364388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in IN · 01099214A✔ Licensed in MI · 4351047278

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11725 ILLINOIS ST, Carmel, IN 46032

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Secondary Practice Location 1

Location 111725 Illinois St Ste 350Carmel, IN 46032-3009 · Phone (317) 688-5031 · Fax (317) 968-1144

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse Keith Kelley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951725373

PECOS Enrollment IDI20260618002125

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

EMMA RUTH METZ NP

Nurse Practitioner (Women's Health)

11725 ILLINOIS ST
CARMEL, IN 46032

Hamilton County (317) 688-5200

DIANA TRAN KUMAR M.D.

Obstetrics & Gynecology

11725 ILLINOIS ST
CARMEL, IN 46032

Hamilton County (317) 688-5200

YOUSSEF ADEL REZK MD

Obstetrics & Gynecology

11725 ILLINOIS ST
CARMEL, IN 46032

Hamilton County (317) 688-5200

IRENE MORIDI MD

Obstetrics & Gynecology (Obstetrics)

11725 ILLINOIS ST
CARMEL, IN 46032

Hamilton County (317) 688-5200

ASHLEY C GILMORE MD

Internal Medicine (Gastroenterology)

11725 ILLINOIS ST, STE 275
CARMEL, IN 46032

Hamilton County (317) 688-4864

JACKLYN LYNNAE CAMPINS CNM

Advanced Practice Midwife

11725 ILLINOIS ST
CARMEL, IN 46032

Hamilton County (317) 688-5200

DR. JOHN D GOLDENBERG M.D.

Otolaryngology

11725 ILLINOIS ST, SUITE 445
CARMEL, IN 46032

Hamilton County (317) 844-7059

SHELBY ANN MILLER PA-C

Physician Assistant

11725 ILLINOIS ST
CARMEL, IN 46032

Hamilton County (317) 944-9400

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 Jesse Kelley's NPI number?

The NPI number for Jesse Kelley is 1295364388. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Jesse Kelley located?

Jesse Kelley practices at 11725 Illinois St, Carmel, IN 46032. The listed phone number is (317) 688-4864.

What is Jesse Kelley's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jesse Kelley enrolled in Medicare?

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

Is Jesse Kelley affiliated with any hospitals?

According to CMS data, Jesse Kelley is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Jesse Kelley was last updated on August 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.