DR. AMY MARIE KELLY M.D.
NPI 1588645121
Pediatrics - Adolescent Medicine in Saint Paul, MN

NPI Status: Active since November 10, 2005

Contact Information

2004 RANDOLPH AVE
#4112
SAINT PAUL, MN
ZIP 55105
Phone: (651) 690-6714
Fax: (651) 690-6188

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  • Individual
  • Female
  • Pediatrics
  • Adolescent Medicine
  • Accepts Insurance

About AMY KELLY

This page provides the complete NPI Profile along with additional information for Amy Kelly, a pediatrician established in Saint Paul, Minnesota with a medical specialization in Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1588645121 assigned on November 2005. The practitioner's primary taxonomy code is 2080A0000X with license number 40727 (MN). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1588645121
Provider Name
DR. AMY MARIE KELLY M.D.
Gender
Female
Entity Type
Individual
Location Address
2004 RANDOLPH AVE #4112 SAINT PAUL, MN 55105
Location Phone
(651) 690-6714
Location Fax
(651) 690-6188
Mailing Address
2247 SARGENT AVE SAINT PAUL, MN 55105
Mailing Phone
(651) 699-9555
Is Sole Proprietor?
Yes
Enumeration Date
11-10-2005
Last Update Date
07-08-2007
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A pediatrician like Amy Kelly is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
License No.
40727
License State
MN
Taxonomy Description
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G86162MEDICARE UPIN (02)MN 

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588645121, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 1 + 2 + 4 + 1 + 0 + 1 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1588645121.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2004 RANDOLPH AVE, #4112
SAINT PAUL, MN 55105
Specialist/Technologist (Athletic Trainer)
2004 RANDOLPH AVE, F-18
SAINT PAUL, MN 55105
Pediatrics (Adolescent Medicine)
2004 RANDOLPH AVE, MAIL #4112
SAINT PAUL, MN 55105
Registered Nurse (Medical-Surgical)
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Physical Therapist
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Psychologist (Counseling)
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Physician Assistant
2004 RANDOLPH AVE
SAINT PAUL, MN 55105
Physician Assistant
2004 RANDOLPH AVE
SAINT PAUL, MN 55105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588645121, enumerated as an "individual" on November 10, 2005.

The provider is located at 2004 RANDOLPH AVE #4112 SAINT PAUL, MN 55105 and the phone number is (651) 690-6714.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.