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DR. JAMES ANTHONY KELLY MD
NPI 1447543087
Family Medicine in San Antonio, TX

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
6393 BABCOCK RD # 102, SAN ANTONIO, TX 78240(210) 436-8400(833) 452-1052 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2023, Oct 18, 2022, Oct 28, 2016 (3 updates tracked since 2016).

About Dr. James Anthony Kelly Md NPPES

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

DR. JAMES ANTHONY KELLY MD (NPI 1447543087) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (P7481) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Uvalde Memorial Hospital, and maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1447543087
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES ANTHONY KELLYCredential: MD
Location Address6393 BABCOCK RD # 102San Antonio, TX 78240-2516
Mailing Address6393 Babcock Rd # 102San Antonio, TX 78240-2516 · (210) 436-8400 · Fax (833) 452-1052
Phone(210) 436-8400
Fax(833) 452-1052
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateJanuary 27, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
✔ NPI 1447543087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · P7481
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.

6393 BABCOCK RD # 102, San Antonio, TX 78240
Open in Google Maps ↗

Secondary Practice Location 1

Location 12200 E Houston StSan Antonio, TX 78202-3007 · Phone (210) 436-8400 · Fax (833) 452-1052

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dr. James Anthony 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 ID3971721945
PECOS Enrollment IDI20140904001980
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 5

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.
318 services129 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.
43 services43 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.
26 services26 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.
21 services18 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uvalde Memorial Hospital

Critical Access Hospitals · Uvalde, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451387
Location1025 Garner Field RoadUvalde, TX 78801 · Uvalde County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 2

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

VILMA BENAVIDES FNP
Nurse Practitioner (Family)
6393 BABCOCK RD # 102
SAN ANTONIO, TX 78240
Bexar County (726) 200-1725
CATHY WALDON BENAVIDES NP
Nurse Practitioner (Family)
6393 BABCOCK RD # 102
SAN ANTONIO, TX 78240
Bexar County (833) 452-1052

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 James Kelly's NPI number?

The NPI number for James Kelly is 1447543087. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is James Kelly located?

James Kelly practices at 6393 Babcock Rd # 102, San Antonio, TX 78240. The listed phone number is (210) 436-8400.

What is James Kelly's specialty?

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

Is James Kelly enrolled in Medicare?

Yes. James 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.

What insurance does James Kelly accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list James Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Kelly affiliated with any hospitals?

According to CMS data, James Kelly is affiliated with Uvalde Memorial Hospital.

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on January 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.