DR. MATTHEW ROBERT KELLY M.D.
NPI 1447639828
Student in an Organized Health Care Education/Training Program in San Diego, CA

Q: What is Matthew Kelly's NPI number?

The NPI number for Matthew Kelly is 1447639828. It was assigned to this individual provider in the NPPES registry on May 19, 2015.

Q: What is Matthew Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Kelly was last updated on May 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2015PECOS EnrolledAccepts Medicare Assignment

NAVAL MEDICAL CTR, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92134(619) 532-7935 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Matthew Robert Kelly M.d. NPPES

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

DR. MATTHEW ROBERT KELLY M.D. (NPI 1447639828) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1447639828

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MATTHEW ROBERT KELLYCredential: M.D.

Location AddressNAVAL MEDICAL CTR, 34800 BOB WILSON DRIVESan Diego, CA 92134-5000

Mailing AddressNaval Medical Ctr, 34800 Bob Wilson DriveSan Diego, CA 92134-5000 · (619) 532-7935

Phone(619) 532-7935

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 19, 2015

✔ NPI 1447639828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

NAVAL MEDICAL CTR, San Diego, CA 92134

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Other Identifiers 1

Medicare UPINVAD0000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare.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. Matthew Robert Kelly M.d. 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 ID6709299647

PECOS Enrollment IDI20240606002024

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 2

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.

23 services13 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280013

Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 20

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NAVAL MEDICAL CTR, 34800 BOB WILSON DR
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