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THOMAS A. KELLY D.O. P.C.
NPI 1366689275
General Practice in Eaton Rapids, MI

Active since January 14, 2009CLIA 23D0932865 · Waiver
101 E SPICERVILLE HWY, EATON RAPIDS, MI 48827(517) 663-2705(517) 663-9470 Get Directions Write a Review

NPPES record last updated: January 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thomas A. Kelly D.o. P.c. NPPES

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

THOMAS A. KELLY D.O. P.C. (NPI 1366689275) is a healthcare organization registered as a general practice in Eaton Rapids, Michigan and active in the NPI registry since January 2009. The organization holds a CLIA Waiver certificate valid through February 8, 2028 and lists Thomas A Kelly, President, as its authorized official.

NPPES Registry Identity

NPI1366689275
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameTHOMAS A. KELLY D.O. P.C.
Location Address101 E SPICERVILLE HWYEaton Rapids, MI 48827-1919
Mailing AddressPo Box 417Eaton Rapids, MI 48827-0417 · (517) 663-2705 · Fax (517) 663-9470
Phone(517) 663-2705
Fax(517) 663-9470
Organization SubpartNo
Authorized OfficialThomas A KellyPresident · (517) 663-2705
Enumeration DateJanuary 14, 2009
✔ NPI 1366689275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in MI · 5101008344
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
101 E SPICERVILLE HWY, Eaton Rapids, MI 48827
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Other Identifiers 15

Other0152330085MI · Blue Choice
Medicare UPINF03642
Medicare PIN5233008MI
Other0152330085MI · Blue Cross Blue Shield Ppo Trust
Other202869MI · Mclaren
OtherM034742Champus
OtherP93421MI · Blue Care Network
Other10046150001MI · The Wellness Plan
Other10046150001MI · The Wellness Plan Medicaid
Other200000002219MI · Physician Health Plan Family Care
Other0100444Physician Health Plan
Medicaid3319192MI
Other0152330085MI · Blue Cross Blue Shield Medical Pin
Other0152330085MI · Blue Preffered Plus
Other0279722Cigna Healthcare

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0932865

Thomas A Kelly, Do PC · Eaton Rapids, MI
Active · expires Feb 8, 2028
CLIA Number23D0932865
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorThomas A. Kelly
Laboratory Phone(517) 663-2705
Laboratory LocationThomas A Kelly, Do PC1500 S Main Street, Eaton Rapids, MI 48827
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. ASHOK K GUPTA MD
Internal Medicine
101 E SPICERVILLE HWY, STE 300
EATON RAPIDS, MI 48827
Eaton County (517) 663-9469
ASHOK K GUPTA MD PLC
Internal Medicine
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-9469
KHRISTINA M COKER FNP-C
Nurse Practitioner (Family)
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-2705
SUSAN L. COURTNAGE, MD, PC
Internal Medicine
101 E SPICERVILLE HWY, SUITE 100
EATON RAPIDS, MI 48827
Eaton County (517) 663-9798
VICKIE L GREGORY C.N.M., N.P.,R.N.
Nurse Practitioner (Family)
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-2705
DR. THOMAS ALAN KELLY D.O.
Family Medicine
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-2705
MRS. CYNTHIA ALLISON VARTERASIAN LMSW
Marriage & Family Therapist
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Eaton County (517) 663-9518

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 Thomas A. Kelly D.O. P.C.'s NPI number?

The NPI number for Thomas A. Kelly D.O. P.C. is 1366689275. It was assigned to this organization in the NPPES registry on January 14, 2009.

Where is Thomas A. Kelly D.O. P.C. located?

Thomas A. Kelly D.O. P.C. is located at 101 E Spicerville Hwy, Eaton Rapids, MI 48827. The listed phone number is (517) 663-2705.

What is Thomas A. Kelly D.O. P.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Thomas A. Kelly D.O. P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0932865) is associated with this NPI, valid through February 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Thomas A. Kelly D.O. P.C. 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 Thomas A. Kelly D.O. P.C. 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 Thomas A. Kelly D.O. P.C. was last updated on January 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.