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DOUGLAS JOHN KELLEY D.O.
NPI 1306108428
Emergency Medicine in Grosse Ile, MI

Active since June 14, 2012PECOS EnrolledAccepts Medicare Assignment
8380 CADILLAC CIR, GROSSE ILE, MI 48138(734) 818-7673 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Douglas John Kelley D.o. NPPES

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

DOUGLAS JOHN KELLEY D.O. (NPI 1306108428) is an individual emergency medicine provider in Grosse Ile, Michigan, licensed in Michigan (5101020104) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2012).

NPPES Registry Identity

NPI1306108428
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDOUGLAS JOHN KELLEYCredential: D.O.
Location Address8380 CADILLAC CIRGrosse Ile, MI 48138-2257
Mailing Address8380 Cadillac CirGrosse Ile, MI 48138-2257 · (734) 818-7673
Phone(734) 818-7673
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2012
Enumeration DateJune 14, 2012
Last NPPES UpdateMarch 18, 2025
NPPES CertifiedMarch 18, 2025
✔ NPI 1306108428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101020104
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 5101020104 (MI)
8380 CADILLAC CIR, Grosse Ile, MI 48138
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas John Kelley D.o. 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.

PECOS PAC ID5092038992
PECOS Enrollment IDI20141230000448
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Douglas Kelley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Epmg Of Michigan, P.C.
25 mi
Emergency Medicine
36475 5 MILE RD
Livonia, MI 48154
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Epmg Of Michigan PC
  • 175 clinicians in this Medicare group
NPI 1386688992 (954) 939-5000
Wellstreet Urgent Care Of Michigan
30 mi
Urgent Care
6900 ORCHARD LAKE RD STE 100
West Bloomfield, MI 48322
  • Reassigned Medicare billing, Michigan enrollment
  • 112 clinicians in this Medicare group
NPI 1578048096 (248) 855-4134
Ascension Borgess Hospital
124 mi
Trauma Surgery
1535 GULL RD, SUITE 005
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 247 clinicians in this Medicare group
NPI 1336279827 (269) 226-6917
Cmdpn Medical Group Of Texas, P.A.
986 mi
Family Medicine
3838 OAK LAWN AVE, SUITE 1000, PMB 1123
Dallas, TX 75219
  • Reassigned Medicare billing, Texas enrollment
  • 55 clinicians in this Medicare group
NPI 1174082150 (720) 996-0522
Cirrusmd Medical Group Of Delaware, P.A.
1,151 mi
Family Medicine
3000 LAWRENCE ST # 101
Denver, CO 80205
  • Reassigned Medicare billing, Michigan, Minnesota and Ohio enrollments
  • Medicare enrollment name: Cirrusmd Medical Group Of Delaware PA
NPI 1922664200 (720) 996-0522
Emergency Professionals Of Michigan PC
  • Reassigned Medicare billing, Michigan enrollment
  • 163 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.
132 services127 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.
39 services36 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
35 services22 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services21 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48138 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Douglas Kelley's NPI number?

The NPI number for Douglas Kelley is 1306108428. It was assigned to this individual provider in the NPPES registry on June 14, 2012.

Where is Douglas Kelley located?

Douglas Kelley practices at 8380 Cadillac Cir, Grosse Ile, MI 48138. The listed phone number is (734) 818-7673.

What is Douglas Kelley's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Douglas Kelley enrolled in Medicare?

Yes. Douglas Kelley 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.

Which organizations bill Medicare for Douglas Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Kelley reassigns Medicare benefits to 6 organizations: Epmg Of Michigan, P.C. (Livonia, MI), Wellstreet Urgent Care Of Michigan (West Bloomfield, MI), Ascension Borgess Hospital (Kalamazoo, MI), Cmdpn Medical Group Of Texas, P.A. (Dallas, TX), Cirrusmd Medical Group Of Delaware, P.A. (Denver, CO) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Kelley was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.