DR. KEVIN DANIEL KELLEY M.D., PHD
NPI 1558627539
Radiology - Radiation Oncology in Warren, OH

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
1353 E MARKET ST, WARREN, OH 44483(330) 841-9399 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 21, 2022, Jul 24, 2017 (2 updates tracked since 2017).

About Dr. Kevin Daniel Kelley M.d., Phd NPPES

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

DR. KEVIN DANIEL KELLEY M.D., PHD (NPI 1558627539) is an individual radiation oncology provider in Warren, Ohio, licensed in Ohio (35.132015) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2012).

NPPES Registry Identity

NPI1558627539
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. KEVIN DANIEL KELLEYCredential: M.D., PHD
Location Address1353 E MARKET STWarren, OH 44483-6637
Mailing Address300 Community DrManhasset, NY 11030-3816 · (516) 562-0100
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1558627539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in OH · 35.132015
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
1353 E MARKET ST, Warren, OH 44483

Accepted Insurance

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

Dr. Kevin Daniel Kelley M.d., Phd 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 ID3375814338
PECOS Enrollment IDI20170809002040
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 44483 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
1353 E MARKET ST, SUITE 302
WARREN, OH 44483
Registered Nurse
1353 E MARKET ST, SUITE 301
WARREN, OH 44483

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 Kevin Kelley's NPI number?

The NPI number for Kevin Kelley is 1558627539. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Kevin Kelley located?

Kevin Kelley practices at 1353 E Market St, Warren, OH 44483. The listed phone number is (330) 841-9399.

What is Kevin Kelley's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Kevin Kelley enrolled in Medicare?

Yes. Kevin Kelley 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.

What insurance does Kevin Kelley accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare and 1 other insurer list Kevin Kelley 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.

When was this NPI record last updated?

The NPPES record for Kevin Kelley was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.