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

Q: 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.

Q: What is James Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Kelly was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

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: October 18, 2026.

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

On this page

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, maintains a secondary practice location in San Antonio, and is a graduate of Tulane University School Of Medicine (2011).

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show James Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vmd Primary Providers South Hill Country Texas, PLLC

12 mi

Family Medicine

1581 AUSTIN HWY
San Antonio, TX 78218

Reassigned Medicare billing, Texas enrollment
27 clinicians in this Medicare group

NPI 1902400880 (210) 436-8400

Uvalde County Hospital Authority

54 mi

Rural Health

517 NORTH CENTER STREET
Sabinal, TX 78881

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1659722197 (830) 278-6251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

Which organizations bill Medicare for James Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kelly reassigns Medicare benefits to 2 organizations: Vmd Primary Providers South Hill Country Texas, PLLC (San Antonio, TX) and Uvalde County Hospital Authority (Sabinal, TX). 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 James Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

When was this NPI record last updated?

The NPPES record for James Kelly was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.