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ROBERT E. KELLY JR. M.D.
NPI 1396752838
Surgery - Pediatric Surgery in Norfolk, VA

Active since August 01, 2006PECOS Enrolled
601 CHILDRENS LN, NORFOLK, VA 23507(757) 668-7703(757) 668-8860 Get Directions Write a Review

NPPES record last updated: December 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert E. Kelly Jr. M.d. NPPES

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

ROBERT E. KELLY JR. M.D. (NPI 1396752838) is an individual pediatric surgery provider in Norfolk, Virginia, licensed in Virginia (0101050898) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396752838
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameROBERT E. KELLY JR.Credential: M.D.
Location Address601 CHILDRENS LNNorfolk, VA 23507-1910
Mailing AddressPo Box 741593, Childrens Surgical Specialty Group IncAtlanta, GA 30374-1593 · (757) 668-7703 · Fax (757) 668-8860
Phone(757) 668-7703
Fax(757) 668-8860
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateDecember 26, 2012
✔ NPI 1396752838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in VA · 0101050898
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
601 CHILDRENS LN, Norfolk, VA 23507
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Other Identifiers 13

Medicaid8906998NC
Other265055VA · Anthem Bcbs
Other311610834VA · Nc Health Choice
Other8906998VA · North Carolina Medicaid
Medicaid006732861VA
Medicare PINC06141VA
Other3116108340002EVA · Cigna
Medicare ID-Type Unspecified20001051VA
Other321883VA · Alliance/mdipa
Other4480859VA · Aetna
Other15404VA · Optima/sentara Health
Other321883VA · Mamsi/optimum Choice
Medicare UPINF78605VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert E. Kelly Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

BELINDA JAMES-PETERSEN CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7240
KELLY PATINO TREJO LCSW
Social Worker (Clinical)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7931
ALIYAH RAYHANAH MOHAMMED MD
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7000
SWETHA MORA M.B.B.S
Student in an Organized Health Care Education/Training Program
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7272
KACIE DENISE CARTER CPNP
Nurse Practitioner (Pediatrics)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8796
PETER M DOZIER MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-8866
STEPHEN C. RESTAINO DO
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7179
MICHAEL LEE SMITH M.D.
Pediatrics
601 CHILDRENS LN
NORFOLK, VA 23507
Norfolk City (757) 668-7456

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 Robert Kelly's NPI number?

The NPI number for Robert Kelly is 1396752838. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Robert Kelly located?

Robert Kelly practices at 601 Childrens Ln, Norfolk, VA 23507. The listed phone number is (757) 668-7703.

What is Robert Kelly's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Robert Kelly enrolled in Medicare?

Yes. Robert Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Kelly was last updated on December 26, 2012. 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.