Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELLY FAHEY MD
NPI 1609512813
Ophthalmology in San Antonio, TX

Q: What is Kelly Fahey's NPI number?

The NPI number for Kelly Fahey is 1609512813. It was assigned to this individual provider in the NPPES registry on May 10, 2022.

Q: What is Kelly Fahey's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Fahey was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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 May 10, 2022PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-3555 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 8, 2022, May 10, 2022 (2 updates tracked since 2022).

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About Kelly Fahey Md NPPES

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

KELLY FAHEY MD (NPI 1609512813) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (W7308) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2022).

NPPES Registry Identity

NPI1609512813

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameKELLY FAHEYCredential: MD

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address4502 Medical DrSan Antonio, TX 78229-4402

Phone(210) 358-3555

Sole ProprietorYes

Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2022

Enumeration DateMay 10, 2022

Last NPPES UpdateJune 30, 20262 updates tracked since enumeration

NPPES CertifiedJune 30, 2026

✔ NPI 1609512813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in TX · W7308

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

4502 MEDICAL DR, San Antonio, TX 78229

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Other Identifiers 1

OtherBP10078755TX · Pit Texas

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8022572809

PECOS Enrollment IDI20260713002016

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 78229 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)