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RUSSELL S KELLY MD LLC
NPI 1598810814
Clinic/Center - Primary Care in Ewa Beach, HI

Active since January 25, 2007
91-2139 FORT WEAVER RD, SUITE 300, EWA BEACH, HI 96706(808) 678-0700(808) 678-0776 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Russell S Kelly Md Llc NPPES

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

RUSSELL S KELLY MD LLC (NPI 1598810814) is a healthcare organization registered as a primary care in Ewa Beach, Hawaii and active in the NPI registry since January 2007. The organization lists Russell S Kelly, Physician, as its authorized official.

NPPES Registry Identity

NPI1598810814
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRUSSELL S KELLY MD LLC
Location Address91-2139 FORT WEAVER RD, SUITE 300Ewa Beach, HI 96706-3607
Mailing Address91-2139 Fort Weaver Rd, Suite 300Ewa Beach, HI 96706-3607 · (808) 678-0700 · Fax (808) 678-0776
Phone(808) 678-0700
Fax(808) 678-0776
Organization SubpartNo
Authorized OfficialRussell S KellyPhysician · (808) 678-0700
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1598810814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in HI · 11807
91-2139 FORT WEAVER RD, Ewa Beach, HI 96706
Open in Google Maps ↗

Other Identifiers 6

Medicare PINH102367HI
Medicare ID-Type Unspecified1790787729HI
Medicaid0000241885HI
Medicare UPINDO1441HI
Medicare ID-Type Unspecified55727HI · Wahiawa
Medicaid53920701HI

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russell S Kelly Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Russell S Kelly MD LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jasmine Kelly, MD
Internal Medicine
NPI 1871090845
91-2139 FORT WEAVER RD STE 303
Ewa Beach, HI 96706
(808) 678-0700
✔ PECOS✔ Accepts MedicareSame address
Russell Kelly, MD
Internal Medicine
NPI 1790787729
91-2139 FORT WEAVER RD SUITE 300
Ewa Beach, HI 96706
(808) 678-0700
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Russell S Kelly MD LLC's NPI number?

The NPI number for Russell S Kelly MD LLC is 1598810814. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Russell S Kelly MD LLC located?

Russell S Kelly MD LLC is located at 91-2139 Fort Weaver Rd Suite 300, Ewa Beach, HI 96706. The listed phone number is (808) 678-0700.

What is Russell S Kelly MD LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Russell S Kelly MD LLC enrolled in Medicare?

Yes. Russell S Kelly MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Russell S Kelly MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Russell S Kelly MD LLC. A 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 the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Russell S Kelly MD LLC was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.