KELLY HALE MD
NPI 1467985648
Emergency Medicine in Newark, DE
About Kelly Hale Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY HALE MD (NPI 1467985648) is an individual emergency medicine provider in Newark, Delaware, licensed in Kentucky (57135) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted 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
Kelly Hale 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.
Medicare Billing Reassignments
7Medicare enrollment records show Kelly Hale reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maysville, KY 41056
- Reassigned Medicare billing, Kentucky enrollment
- 828 clinicians in this Medicare group
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Glasgow, KY 42141
- Reassigned Medicare billing, Kentucky enrollment
- 323 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
Prattville, AL 36067
- Reassigned Medicare billing, Alabama enrollment
- 223 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 828 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Houston Methodist Hospital
Acute Care Hospitals · Houston, TXHouston Methodist Baytown Hospital
Acute Care Hospitals · Baytown, TXHouston Methodist Clear Lake Hospital
Acute Care Hospitals · Nassau Bay, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
NEWARK, DE 19718
NEWARK, DE 19718
NEWARK, DE 19718
NEWARK, DE 19718
NEWARK, DE 19718
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 Kelly Hale's NPI number?
The NPI number for Kelly Hale is 1467985648. It was assigned to this individual provider in the NPPES registry on April 5, 2017. The provider is also known as Kelly Ware MD.
Where is Kelly Hale located?
Kelly Hale practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (817) 565-6027.
What is Kelly Hale's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kelly Hale enrolled in Medicare?
Yes. Kelly Hale 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 Kelly Hale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hale reassigns Medicare benefits to 7 organizations: Southeastern Emergency Physicians LLC (Maysville, KY), Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), T J Samson Community Hospital (Glasgow, KY), Paragon Contracting Services LLC (Birmingham, AL), Emergency Services Of Montgomery PC (Prattville, AL) and 2 more organizations, listed in the Medicare section above. 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 Kelly Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Hale accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Kelly Hale 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 Kelly Hale affiliated with any hospitals?
According to CMS data, Kelly Hale is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital and Houston Methodist Clear Lake Hospital.
When was this NPI record last updated?
The NPPES record for Kelly Hale was last updated on May 26, 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.
# Kelly Hale, MD · NPI 1467985648
Emergency Medicine physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since April 5, 2017.
## Identity
- **NPI:** 1467985648 (Entity type: Individual)
- **Enumerated:** April 5, 2017
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 57135 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4755 OGLETOWN STANTON RD, Newark, DE 19718-2200
- **Phone:** (817) 565-6027
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); T J Samson Community Hospital (NPI 1922343300, Glasgow, KY); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); Emergency Services Of Montgomery PC (NPI 1528310323, Prattville, AL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2017
## Record status
- **NPPES last updated:** May 26, 2023
- **Other identifiers:** Medicaid 7100849550 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1467985648) · Data from the CMS NPPES public registry.