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GLENN PATRICK KELLEY M.D.
NPI 1417985813
Internal Medicine - Cardiovascular Disease in Metairie, LA

Active since June 28, 2006PECOS Enrolled
4200 HOUMA BLVD FL 2, METAIRIE, LA 70006(504) 454-4102(504) 454-4192 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Glenn Patrick Kelley M.d. NPPES

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

GLENN PATRICK KELLEY M.D. (NPI 1417985813) is an individual cardiovascular disease provider in Metairie, Louisiana, licensed in Louisiana (MD.025489) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417985813
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGLENN PATRICK KELLEYCredential: M.D.
Location Address4200 HOUMA BLVD FL 2Metairie, LA 70006-2970
Mailing Address4200 Houma Blvd Fl 2Metairie, LA 70006-2970 · (504) 454-4102 · Fax (504) 454-4192
Phone(504) 454-4102
Fax(504) 454-4192
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateDecember 22, 2016
✔ NPI 1417985813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in LA · MD.025489
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4200 HOUMA BLVD FL 2, Metairie, LA 70006
Open in Google Maps ↗

Other Identifiers 2

Medicaid1575755LA
Medicare PIN367361YT3RLA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Patrick Kelley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
82%163 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%199 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

RACHEL N. CHAPPELL PA
Physician Assistant
4200 HOUMA BLVD FL 2
METAIRIE, LA 70006
Jefferson Parish (504) 454-4102
MS. YEILENE ASHLEY SCHOWER FNP
Nurse Practitioner (Family)
4200 HOUMA BLVD FL 2
METAIRIE, LA 70006
Jefferson Parish (504) 503-4170
DR. DAVID STRELNIKOV MD
Student in an Organized Health Care Education/Training Program
4200 HOUMA BLVD FL 2
METAIRIE, LA 70006
Jefferson Parish (504) 503-6255
PETER GARCIA IV
Student in an Organized Health Care Education/Training Program
4200 HOUMA BLVD FL 2
METAIRIE, LA 70006
Jefferson Parish (504) 503-6255
DR. ANDREW B WANG MD
Student in an Organized Health Care Education/Training Program
4200 HOUMA BLVD FL 2
METAIRIE, LA 70006
Jefferson Parish (504) 503-6255

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 Glenn Kelley's NPI number?

The NPI number for Glenn Kelley is 1417985813. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Glenn Kelley located?

Glenn Kelley practices at 4200 Houma Blvd Fl 2, Metairie, LA 70006. The listed phone number is (504) 454-4102.

What is Glenn Kelley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Glenn Kelley enrolled in Medicare?

Yes. Glenn Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Glenn Kelley was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.