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

NPI Status: Active since January 14, 2009

Contact Information

101 E SPICERVILLE HWY
EATON RAPIDS, MI
ZIP 48827
Phone: (517) 663-2705
Fax: (517) 663-9470

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  • Organization
  • General Practice
  • Accepts Insurance

About THOMAS A. KELLY D.O. P.C.

This page provides the complete NPI Profile along with additional information for Thomas A. Kelly D.o. P.c., a primary care provider established in Eaton Rapids, Michigan operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1366689275 assigned on January 2009. The practitioner's primary taxonomy code is 208D00000X with license number 5101008344 (MI). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Thomas A Kelly D.o. (President)

NPI
1366689275
Provider Name
THOMAS A. KELLY D.O. P.C.
Entity Type
Organization
Location Address
101 E SPICERVILLE HWY EATON RAPIDS, MI 48827
Location Phone
(517) 663-2705
Location Fax
(517) 663-9470
Mailing Address
PO BOX 417 EATON RAPIDS, MI 48827
Mailing Phone
(517) 663-2705
Mailing Fax
(517) 663-9470
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2009
Last Update Date
01-14-2009
Code Navigator

A primary care provider (PCP) like Thomas A. Kelly D.o. P.c. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
5101008344
License State
MI
Taxonomy Description
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

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. THOMAS A KELLY D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(517) 663-2705

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0152330085OTHER (01)MIBLUE CHOICE
F03642MEDICARE UPIN (02) 
5233008MEDICARE PIN (08)MI 
0152330085OTHER (01)MIBLUE CROSS BLUE SHIELD PPO TRUST
202869OTHER (01)MIMCLAREN
M034742OTHER (01)CHAMPUS
P93421OTHER (01)MIBLUE CARE NETWORK
10046150001OTHER (01)MITHE WELLNESS PLAN
10046150001OTHER (01)MITHE WELLNESS PLAN MEDICAID
200000002219OTHER (01)MIPHYSICIAN HEALTH PLAN FAMILY CARE
0100444OTHER (01)PHYSICIAN HEALTH PLAN
3319192MEDICAID (05)MI 
0152330085OTHER (01)MIBLUE CROSS BLUE SHIELD MEDICAL PIN
0152330085OTHER (01)MIBLUE PREFFERED PLUS
0279722OTHER (01)CIGNA HEALTHCARE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366689275, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 6 → 12 → 3 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 1 + 2 + 8 + 1 + 8 + 2 + 1 + 4 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1366689275.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Internal Medicine
101 E SPICERVILLE HWY, STE 300
EATON RAPIDS, MI 48827
Family Medicine
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Marriage & Family Therapist
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Internal Medicine
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Nurse Practitioner (Family)
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827
Internal Medicine
101 E SPICERVILLE HWY, SUITE 100
EATON RAPIDS, MI 48827
Nurse Practitioner (Family)
101 E SPICERVILLE HWY
EATON RAPIDS, MI 48827

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366689275, enumerated as an "organization" on January 14, 2009.

The provider is located at 101 E SPICERVILLE HWY EATON RAPIDS, MI 48827 and the phone number is (517) 663-2705.

General Practice with taxonomy code 208D00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.