CONRAD JOSEPH KELLY
NPI 1437672516
Nurse Anesthetist, Certified Registered in Detroit, MI
About Conrad Joseph Kelly NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONRAD JOSEPH KELLY (NPI 1437672516) is an individual nurse anesthetist, certified registered in Detroit, Michigan, licensed in Michigan (4704293196) and active in the NPI registry since July 2017. He is affiliated with Beaumont Hospital Royal Oak and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Conrad Joseph Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Conrad Kelly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- 132 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 278 clinicians in this Medicare group
Rochester Hills, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 43 clinicians in this Medicare group
Farmington Hills, MI 48336
- Reassigned Medicare billing, Michigan enrollment
- 69 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 369 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48236
DETROIT, MI 48236
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 Conrad Kelly's NPI number?
The NPI number for Conrad Kelly is 1437672516. It was assigned to this individual provider in the NPPES registry on July 20, 2017.
Where is Conrad Kelly located?
Conrad Kelly practices at 22101 Moross Rd, Detroit, MI 48236. The listed phone number is (313) 343-4000.
What is Conrad Kelly's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Conrad Kelly enrolled in Medicare?
Yes. Conrad Kelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Conrad Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Conrad Kelly reassigns Medicare benefits to 6 organizations: Henry Ford Health St. John Hospital (Detroit, MI), William Beaumont Hospital (Royal Oak, MI), Rochester Medical Associates, PLLC (Rochester Hills, MI), Botsford General Hospital (Farmington Hills, MI), Northstar Anesthesia Of Michigan III PLLC (Irving, TX) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Conrad Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Conrad Kelly affiliated with any hospitals?
According to CMS data, Conrad Kelly is affiliated with Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Conrad Kelly was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Conrad Joseph Kelly · NPI 1437672516
Nurse Anesthetist, Certified Registered physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since July 20, 2017.
## Identity
- **NPI:** 1437672516 (Entity type: Individual)
- **Enumerated:** July 20, 2017
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704293196 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22101 MOROSS RD, Detroit, MI 48236
- **Phone:** (313) 343-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Henry Ford Health St. John Hospital (NPI 1598896995, Detroit, MI); William Beaumont Hospital (NPI 1811044878, Royal Oak, MI); Rochester Medical Associates, PLLC (NPI 1396398681, Rochester Hills, MI); Botsford General Hospital (NPI 1235179664, Farmington Hills, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1437672516) · Data from the CMS NPPES public registry.