BRIAN RICHARD KELLY PA-C
NPI 1356031942
Physician Assistant in Tampa, FL

Active since May 09, 2023PECOS EnrolledAccepts Medicare Assignment
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 870-4000 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brian Richard Kelly Pa-c NPPES

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

BRIAN RICHARD KELLY PA-C (NPI 1356031942) is an individual physician assistant in Tampa, Florida, licensed in Florida (9117340) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356031942
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN RICHARD KELLYCredential: PA-C
Location Address3001 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307
Mailing Address2502 W Saint Isabel StTampa, FL 33607-6318 · (813) 874-5707
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 9, 2023
NPPES CertifiedApril 24, 2023
NPI 1356031942 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 FL · 9117340
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.

3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607

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

Brian Richard Kelly Pa-c 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 ID2062870017
PECOS Enrollment IDI20230622003166
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.

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 19

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

Emergency Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Pediatrics (Pediatric Endocrinology)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Radiology (Radiation Oncology)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Internal Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Internal Medicine
3001 W DR MARTIN LUTHER KING JR BLVD, 5TH FLOOR CRITICAL CARE TOWER
TAMPA, FL 33607
Physician Assistant
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Emergency Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Emergency Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356031942, enumerated as an "individual" on May 09, 2023.

The provider is located at 3001 W DR MARTIN LUTHER KING JR BLVD TAMPA, FL 33607 and the phone number is (813) 870-4000.

Physician Assistant with taxonomy code 363A00000X.

Brian Kelly is affiliated with: ST JOSEPHS HOSPITAL.