RICHARD ADAM KELLIS MD
NPI 1497040836
Family Medicine in Philadelphia, PA
About Richard Adam Kellis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD ADAM KELLIS MD (NPI 1497040836) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT200418) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
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
Richard Adam Kellis 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
4Medicare enrollment records show Richard Kellis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portland, OR 97216
- Reassigned Medicare billing, Oregon enrollment
- 144 clinicians in this Medicare group
Klamath Falls, OR 97603
- Reassigned Medicare billing, Oregon enrollment
- 2,212 clinicians in this Medicare group
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 691 clinicians in this Medicare group
Hillsboro, OR 97123
- Reassigned Medicare billing, Oregon enrollment
- 185 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORHillsboro Medical Center
Acute Care Hospitals · Hillsboro, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 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 19104
PHILADELPHIA, PA 19104
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 Richard Kellis's NPI number?
The NPI number for Richard Kellis is 1497040836. It was assigned to this individual provider in the NPPES registry on June 14, 2011.
Where is Richard Kellis located?
Richard Kellis practices at 3400 Spruce St, Philadelphia, PA 19104. The listed phone number is (215) 662-8777.
What is Richard Kellis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Richard Kellis enrolled in Medicare?
Yes. Richard Kellis 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 Richard Kellis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Kellis reassigns Medicare benefits to 4 organizations: Oregon Health & Science University (Portland, OR), University Professional Services (Klamath Falls, OR), Tuality Medical Group LLC (Hillsboro, OR) and Tuality Healthcare (Hillsboro, OR). 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 Richard Kellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Kellis accept?
Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Richard Kellis 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 Richard Kellis affiliated with any hospitals?
According to CMS data, Richard Kellis is affiliated with Ohsu Hospital And Clinics and Hillsboro Medical Center.
When was this NPI record last updated?
The NPPES record for Richard Kellis was last updated on June 14, 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.
# Richard Adam Kellis, MD · NPI 1497040836
Family Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 14, 2011.
## Identity
- **NPI:** 1497040836 (Entity type: Individual)
- **Enumerated:** June 14, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MT200418 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-8777
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Oregon Health & Science University (NPI 1245093533, Portland, OR); University Professional Services (NPI 1659605707, Klamath Falls, OR); Tuality Medical Group LLC (NPI 1639690704, Hillsboro, OR); Tuality Healthcare (NPI 1073817714, Hillsboro, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** June 14, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1497040836) · Data from the CMS NPPES public registry.