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MICHAEL J KELLEY DPM
NPI 1295841153
Podiatrist in Rockford, MI

Active since August 22, 2006
6785 MYERS LAKE AVE NE, SUITE C, ROCKFORD, MI 49341(616) 874-8772 Get Directions Write a Review

NPPES record last updated: October 24, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael J Kelley Dpm NPPES

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

MICHAEL J KELLEY DPM (NPI 1295841153) is a healthcare organization registered as a podiatrist in Rockford, Michigan and active in the NPI registry since August 2006. The organization lists Michael J Kelley, President, as its authorized official.

NPPES Registry Identity

NPI1295841153
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMICHAEL J KELLEY DPM
Location Address6785 MYERS LAKE AVE NE, SUITE CRockford, MI 49341-7416
Mailing Address4310 Leonard St Nw, Suite 103Grand Rapids, MI 49534-8447 · (616) 453-6329 · Fax (616) 453-1725
Phone(616) 874-8772
Organization SubpartNo
Authorized OfficialMichael J KelleyPresident · (616) 874-8772
Enumeration DateAugust 22, 2006
Last NPPES UpdateOctober 24, 2012
✔ NPI 1295841153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MI · 5901001533
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
6785 MYERS LAKE AVE NE, Rockford, MI 49341
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Other Identifiers 5

Medicare ID-Type Unspecified5415014MI · Medicare
Medicare PIN5415014MI
Medicaid2751473MI
Medicare UPINT92545MI
Medicare NSC0483980001MI

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

DAVID B FISCHER DDS
Dentist (General Practice)
6785 MYERS LAKE AVE NE, SUITE A
ROCKFORD, MI 49341
Kent County (616) 874-6040
ELDER CARE OF WEST MICHIGAN PLLC
Family Medicine (Geriatric Medicine)
6785 MYERS LAKE AVE NE
ROCKFORD, MI 49341
Kent County (616) 366-4234
MICHAEL KELLEY DPM
Podiatrist
6785 MYERS LAKE AVE NE, SUITE C
ROCKFORD, MI 49341
Kent County (616) 874-8772
JEFFREY R WILLIAMSON DO PC
Family Medicine
6785 MYERS LAKE AVE NE
ROCKFORD, MI 49341
Kent County (616) 884-5191
DR. JEFFREY R WILLIAMSON DO
Family Medicine
6785 MYERS LAKE AVE NE
ROCKFORD, MI 49341
Kent County (616) 884-5191

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 Michael J Kelley Dpm's NPI number?

The NPI number for Michael J Kelley Dpm is 1295841153. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Michael J Kelley Dpm located?

Michael J Kelley Dpm is located at 6785 Myers Lake Ave NE Suite C, Rockford, MI 49341. The listed phone number is (616) 874-8772.

What is Michael J Kelley Dpm's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Michael J Kelley Dpm accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Michael J Kelley Dpm 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 Michael J Kelley Dpm was last updated on October 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.