KELLY KATHLEEN MALLOY M.D.
NPI 1578787073
Obstetrics & Gynecology in De Pere, WI

Q: What is Kelly Malloy's NPI number?

The NPI number for Kelly Malloy is 1578787073. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Kelly Malloy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Malloy was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 13, 2007PECOS EnrolledAccepts Medicare Assignment

1881 CHICAGO ST, DE PERE, WI 54115(920) 403-8000 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2024, Nov 24, 2021, Jan 13, 2020 (3 updates tracked since 2020).

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About Kelly Kathleen Malloy M.d. NPPES

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

KELLY KATHLEEN MALLOY M.D. (NPI 1578787073) is an individual obstetrics & gynecology provider in De Pere, Wisconsin, licensed in Wisconsin (52534) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Aurora Baycare Medical Ctr, and is a graduate of Creighton University School Of Medicine (2007).

NPPES Registry Identity

NPI1578787073

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameKELLY KATHLEEN MALLOYCredential: M.D.

Location Address1881 CHICAGO STDe Pere, WI 54115-3770

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 403-8000

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 2007

Enumeration DateApril 13, 2007

Last NPPES UpdateJuly 11, 20243 updates tracked since enumeration

NPPES CertifiedJuly 11, 2024

✔ NPI 1578787073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in WI · 52534

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1881 CHICAGO ST, De Pere, WI 54115

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Other Identifiers 1

Medicaid100016355WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Kelly Kathleen Malloy M.d. 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 ID5991974958

PECOS Enrollment IDI20110808000585

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.

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipProprietary

CMS Certification Number520193

Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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 20

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

MANISHA CHATURVEDI MD

Family Medicine

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8000

DR. JESUSA S ANDRES-PALINES MD

Internal Medicine

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

DR. ABHILASH R VAISHNAV MD

Internal Medicine (Allergy & Immunology)

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8000

DR. JENNIFER L HOYER MD

Pediatrics

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

YOLOXOCHITL DIAZ MD

Pediatrics

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8000

DR. INDIRA P ANDHOLE MD

Pediatrics

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

DR. RONALD E ROUP MD

Pediatrics

1881 CHICAGO ST
DEPERE, WI 54115

Brown County (920) 403-8000

AURORA PHARMACY INC

Pharmacy

1881 CHICAGO ST
DE PERE, WI 54115

Brown County (920) 403-8050

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 Kelly Malloy's NPI number?

The NPI number for Kelly Malloy is 1578787073. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is Kelly Malloy located?

Kelly Malloy practices at 1881 Chicago St, De Pere, WI 54115. The listed phone number is (920) 403-8000.

What is Kelly Malloy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kelly Malloy enrolled in Medicare?

Yes. Kelly Malloy 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 Kelly Malloy accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Kelly Malloy 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 Kelly Malloy affiliated with any hospitals?

According to CMS data, Kelly Malloy is affiliated with Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Kelly Malloy was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.