CONRAD JOSEPH KELLY
NPI 1437672516
Nurse Anesthetist, Certified Registered in Detroit, MI

Active since July 20, 2017
22101 MOROSS RD, DETROIT, MI 48236(313) 343-4000 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 26, 2018, Jul 20, 2017 (2 updates tracked since 2017).

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

NPI1437672516
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameCONRAD JOSEPH KELLY
Location Address22101 MOROSS RDDetroit, MI 48236
Mailing Address2455 Culbertson AveRochester Hills, MI 48307-4609
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 20, 2017
Last NPPES UpdateJuly 26, 20182 updates tracked since enumeration
NPI 1437672516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in MI · 4704293196
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 4704293196 (MI)
22101 MOROSS RD, Detroit, MI 48236

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Conrad Joseph Kelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133494917
PECOS Enrollment IDI20171004001219

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

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.

Obstetrics & Gynecology
22101 MOROSS RD, 313
DETROIT, MI 48236
Physician Assistant
22101 MOROSS RD, SUTIE 132 PB-1
DETROIT, MI 48236
Surgery
22101 MOROSS RD
DETROIT, MI 48236
Nurse Anesthetist, Certified Registered
22101 MOROSS RD
DETROIT, MI 48236
Specialist
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
DETROIT, MI 48236
Anesthesiology
22101 MOROSS RD
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.

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 with the weekly NPPES data releases published by CMS.