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ROBERT H KELLY MD PLLC
NPI 1609413046
Internal Medicine in Fort Worth, TX

Active since December 04, 2019
929 COLLEGE AVE, FORT WORTH, TX 76104(817) 336-3432 Get Directions Write a Review

NPPES record last updated: December 4, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert H Kelly Md Pllc NPPES

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

ROBERT H KELLY MD PLLC (NPI 1609413046) is a healthcare organization registered as an internal medicine in Fort Worth, Texas and active in the NPI registry since December 2019. The organization lists Robert Hart Kelly, Doctor, as its authorized official.

NPPES Registry Identity

NPI1609413046
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameROBERT H KELLY MD PLLC
Location Address929 COLLEGE AVEFort Worth, TX 76104-3011
Mailing Address929 College AveFort Worth, TX 76104-3011
Phone(817) 336-3432
Organization SubpartNo
Authorized OfficialRobert Hart KellyDoctor · (817) 336-3432
Enumeration DateDecember 4, 2019
✔ NPI 1609413046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
929 COLLEGE AVE, Fort Worth, TX 76104
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert H Kelly Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Robert H Kelly MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Kelly, MD
Internal Medicine
NPI 1619944485
929 COLLEGE AVE
Fort Worth, TX 76104
(817) 336-3431
✔ 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 Robert H Kelly MD PLLC's NPI number?

The NPI number for Robert H Kelly MD PLLC is 1609413046. It was assigned to this organization in the NPPES registry on December 4, 2019.

Where is Robert H Kelly MD PLLC located?

Robert H Kelly MD PLLC is located at 929 College Ave, Fort Worth, TX 76104. The listed phone number is (817) 336-3432.

What is Robert H Kelly MD PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert H Kelly MD PLLC enrolled in Medicare?

Yes. Robert H Kelly MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert H Kelly MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Robert H Kelly MD PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert H Kelly MD PLLC was last updated on December 4, 2019. 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.