DR. JAMES THOMAS KELLY DO
NPI 1508943317
Family Medicine in Port Jefferson, NY

Q: What is James Kelly's NPI number?

The NPI number for James Kelly is 1508943317. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is James Kelly's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for James Kelly was last updated on November 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2006PECOS Enrolled

70 N COUNTRY RD, SUITE 105, PORT JEFFERSON, NY 11777(631) 642-0609(631) 642-0588 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. James Thomas Kelly Do NPPES

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

DR. JAMES THOMAS KELLY DO (NPI 1508943317) is an individual family medicine provider in Port Jefferson, New York, licensed in New York (173786) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508943317

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JAMES THOMAS KELLYCredential: DO

Location Address70 N COUNTRY RD, SUITE 105Port Jefferson, NY 11777-2161

Mailing Address70 N Country Rd, Suite 105Port Jefferson, NY 11777-2161 · (631) 642-0609 · Fax (631) 642-0588

Phone(631) 642-0609

Fax(631) 642-0588

Sole ProprietorNo

Enumeration DateNovember 1, 2006

Last NPPES UpdateNovember 19, 2009

✔ NPI 1508943317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 173786

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

70 N COUNTRY RD, Port Jefferson, NY 11777

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Other Identifiers 2

Medicare ID-Type Unspecified23E691NY

Medicare UPINA61429

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Thomas Kelly Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11777 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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