JOHN J KELLY DO
NPI 1467421644
Emergency Medicine in Philadelphia, PA
About John J Kelly Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN J KELLY DO (NPI 1467421644) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS005933L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John J Kelly Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show John Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phila, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 192 clinicians in this Medicare group
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 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
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 John Kelly's NPI number?
The NPI number for John Kelly is 1467421644. It was assigned to this individual provider in the NPPES registry on March 17, 2006.
Where is John Kelly located?
John Kelly practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-6679.
What is John Kelly's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John Kelly enrolled in Medicare?
Yes. John Kelly is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for John Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kelly reassigns Medicare benefits to 2 organizations: Einstein Practice Plan Inc (Phila, PA) and Fornance Physician Services, Inc. (Plymouth Meeting, PA). 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 John Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for John Kelly was last updated on August 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# John J Kelly, DO · NPI 1467421644
Emergency Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 17, 2006.
## Identity
- **NPI:** 1467421644 (Entity type: Individual)
- **Enumerated:** March 17, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** OS005933L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD, Philadelphia, PA 19141
- **Phone:** (215) 456-6679 · **Fax:** (215) 456-8502
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Einstein Practice Plan Inc (NPI 1114970407, Phila, PA); Fornance Physician Services, Inc. (NPI 1497792931, Plymouth Meeting, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 2, 2010
- **Other identifiers:** Medicare UPIN D72401; Medicare ID-Type Unspecified 0000525545; Medicaid 001134134 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1467421644) · Data from the CMS NPPES public registry.