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TANIA KELLY M.D.
NPI 1457443384
Pediatrics in Oak Lawn, IL

Active since September 28, 2006PECOS Enrolled
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-5341(708) 684-4767 Get Directions Write a Review

NPPES record last updated: March 16, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tania Kelly M.d. NPPES

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

TANIA KELLY M.D. (NPI 1457443384) is an individual pediatrics provider in Oak Lawn, Illinois, licensed in Illinois (036112183) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457443384
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTANIA KELLYCredential: M.D.
Location Address4440 W 95TH STOak Lawn, IL 60453-2600
Mailing Address4440 W 95th StOak Lawn, IL 60453-2600 · (708) 684-5341 · Fax (708) 684-4767
Phone(708) 684-5341
Fax(708) 684-4767
Sole ProprietorNo
Enumeration DateSeptember 28, 2006
Last NPPES UpdateMarch 16, 2011
✔ NPI 1457443384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036112183
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4440 W 95TH ST, Oak Lawn, IL 60453
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Other Identifiers 1

Medicaid036112183IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tania Kelly M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Tania Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Clinic
358 mi
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1912315144 (952) 977-0700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

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 Tania Kelly's NPI number?

The NPI number for Tania Kelly is 1457443384. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Tania Kelly located?

Tania Kelly practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-5341.

What is Tania Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tania Kelly enrolled in Medicare?

Yes. Tania Kelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tania Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tania Kelly reassigns Medicare benefits to Park Nicollet Clinic (Minneapolis, MN). The 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 Tania Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tania Kelly accept?

Health plans from HealthPartners list Tania 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 Tania Kelly was last updated on March 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.