IRENE ESTELLE KELLY MD
NPI 1386747509
Family Medicine in Oakland, CA

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
1030 INTERNATIONAL BLVD, OAKLAND, CA 94601(510) 238-5400(510) 238-5437 Get Directions Write a Review

NPPES record last updated: August 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Irene Estelle Kelly Md NPPES

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

IRENE ESTELLE KELLY MD (NPI 1386747509) is an individual family medicine provider in Oakland, California, licensed in California (A60525) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (1995).

NPPES Registry Identity

NPI1386747509
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameIRENE ESTELLE KELLYCredential: MD
Location Address1030 INTERNATIONAL BLVDOakland, CA 94601
Mailing AddressPo Box 22210Oakland, CA 94623-2210 · (510) 535-4000 · Fax (510) 535-4128
Fax(510) 238-5437
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 1995
Enumeration DateSeptember 6, 2006
Last NPPES UpdateAugust 5, 2013
NPI 1386747509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A60525
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1030 INTERNATIONAL BLVD, Oakland, CA 94601

Other Identifiers 3

MedicaidFHC11991FCA
Medicare PINZZZ79046Z
Medicare OSCAR/certification051822

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

Irene Estelle Kelly Md 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 ID3173650942
PECOS Enrollment IDI20100427000713
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.

Areas of Expertise CMS Part B claims 6

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 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.
210 services142 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
88 services88 patients
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.
78 services68 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94601 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims44 services$7.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
1030 INTERNATIONAL BLVD
OAKLAND, CA 94601
Internal Medicine
1030 INTERNATIONAL BLVD
OAKLAND, CA 94601
Pharmacist
1030 INTERNATIONAL BLVD
OAKLAND, CA 94601
Physician Assistant
1030 INTERNATIONAL BLVD
OAKLAND, CA 94601
Pediatrics
1030 INTERNATIONAL BLVD
OAKLAND, CA 94601
Registered Nurse
1030 INTERNATIONAL BLVD
OAKLAND, CA 94601
Pediatrics
1030 INTERNATIONAL BLVD
OAKLAND, CA 94601

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 Irene Kelly's NPI number?

The NPI number for Irene Kelly is 1386747509. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Irene Kelly located?

Irene Kelly practices at 1030 International Blvd, Oakland, CA 94601. The listed phone number is (510) 238-5400.

What is Irene Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Irene Kelly enrolled in Medicare?

Yes. Irene Kelly 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.

When was this NPI record last updated?

The NPPES record for Irene Kelly was last updated on August 5, 2013. 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.