TUYET QUACH KELLY PA-C
NPI 1548692981
Physician Assistant in Chicago, IL

Q: What is Tuyet Kelly's NPI number?

The NPI number for Tuyet Kelly is 1548692981. It was assigned to this individual provider in the NPPES registry on August 8, 2013. The provider is also known as Tuyet Suong Quach PA.

Q: What is Tuyet Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tuyet Kelly was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 08, 2013PECOS EnrolledAccepts Medicare Assignment

211 E ONTARIO ST STE 200, CHICAGO, IL 60611(312) 694-7000 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 17, 2020, Mar 5, 2020, Mar 9, 2018 (3 updates tracked since 2018).

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About Tuyet Quach Kelly Pa-c NPPES

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

TUYET QUACH KELLY PA-C (NPI 1548692981) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085004740) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Bonney Lake.

NPPES Registry Identity

NPI1548692981

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTUYET QUACH KELLYCredential: PA-C

Location Address211 E ONTARIO ST STE 200Chicago, IL 60611-3284

Mailing Address211 E Ontario St Ste 200Chicago, IL 60611-3284 · (312) 694-7000 · Fax (312) 926-6274

Phone(312) 694-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 8, 2013

Last NPPES UpdateJune 17, 20203 updates tracked since enumeration

NPPES CertifiedJune 17, 2020

✔ NPI 1548692981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085004740

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

211 E ONTARIO ST STE 200, Chicago, IL 60611

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Other Names 1

Former Name (1)Tuyet Suong Quach Pa

Secondary Practice Location 1

Location 19230 Sky Island Dr EBonney Lake, WA 98391-7385 · Phone (253) 750-6000 · Fax (253) 750-6100

Other Identifiers 1

Other366426WA · State L&i

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tuyet Quach Kelly Pa-c 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.

PECOS PAC ID5890929798

PECOS Enrollment IDI20131008001898

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$25.19 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier11 claims11 services$7.01 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. LAUREN PAGE BLACK M.D.

Emergency Medicine