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 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.

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: October 18, 2026.

On this page

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

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

North Shore-Lij Medical PC

36 mi

Urology

1010 NORTHERN BLVD STE 110
Great Neck, NY 11021

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1053688572 (516) 321-7400

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 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.

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.

MRS. LAURA A RAYMOND PT, CHT

Physical Therapist

70 N COUNTRY RD, SUITE 103
PORT JEFFERSON, NY 11777

Suffolk County (631) 331-3608

DR. RHONDA S BURMEISTER DO

Family Medicine

70 N COUNTRY RD, SUITE 105
PORT JEFFERSON, NY 11777

Suffolk County (631) 642-0609

PROFESSIONAL ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, P.C.

Physical Therapist

70 N COUNTRY RD
PORT JEFFERSON, NY 11777

Suffolk County (631) 474-4096

FRANK P LUNATI JR. MD

Surgery

70 N COUNTRY RD, STE 201
PORT JEFFERSON, NY 11777

Suffolk County (631) 403-4310

MARKELLA MICHAEL CHRISTAKIS M.D.

Surgery

70 N COUNTRY RD, SUITE 201
PORT JEFFERSON, NY 11777

Suffolk County (631) 403-4310

NORTH SHORE PROCEDURES, LLC

Clinic/Center (Endoscopy)

70 N COUNTRY RD, SUITE 201
PORT JEFFERSON, NY 11777

Suffolk County (631) 331-0200

DR. ALI S KARAKURUM

Internal Medicine (Gastroenterology)

70 N COUNTRY RD, SUITE-201
PORT JEFFERSON, NY 11777

Suffolk County (631) 331-0200

MARITZA LASTRA GROTH MD

Internal Medicine (Pulmonary Disease)

70 N COUNTRY RD, SUITE 101
PORT JEFFERSON, NY 11777

Suffolk County (631) 473-0037

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 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.

Where is James Kelly located?

James Kelly practices at 70 N Country Rd Suite 105, Port Jefferson, NY 11777. The listed phone number is (631) 642-0609.

What is James Kelly's specialty?

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

Is James Kelly enrolled in Medicare?

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

Which organization bills Medicare for James Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Kelly reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). 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 James 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 James Kelly was last updated on November 19, 2009. 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.