DR. MAUREEN A KELLY MD
NPI 1609874064
Pediatrics in Bloomfield Hills, MI

Q: What is Maureen Kelly's NPI number?

The NPI number for Maureen Kelly is 1609874064. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Q: What is Maureen Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Maureen Kelly was last updated on April 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 11, 2005CLIA 23D0979608 · Waiver

43205 WOODWARD AVE, BLOOMFIELD HILLS, MI 48302(248) 451-0600(248) 451-0700 Get Directions Write a Review

NPPES record last updated: April 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Maureen A Kelly Md NPPES

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

DR. MAUREEN A KELLY MD (NPI 1609874064) is an individual pediatrics provider in Bloomfield Hills, Michigan, licensed in Michigan (4301056543) and active in the NPI registry since July 2005. She holds a CLIA Waiver certificate valid through October 25, 2026.

NPPES Registry Identity

NPI1609874064

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. MAUREEN A KELLYCredential: MD

Location Address43205 WOODWARD AVEBloomfield Hills, MI 48302-5006

Mailing AddressPo Box 44047Detroit, MI 48244-0047 · (248) 451-0600 · Fax (248) 451-0700

Phone(248) 451-0600

Fax(248) 451-0700

Sole ProprietorNo

Enumeration DateJuly 11, 2005

Last NPPES UpdateApril 29, 2009

✔ NPI 1609874064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301056543

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

43205 WOODWARD AVE, Bloomfield Hills, MI 48302

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Other Identifiers 2

Medicaid4183802MI

Medicare UPINF59297MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0979608

Maureen A Kelly, MD, PLLC · Bloomfield Hills, MI

Active · expires Oct 25, 2026

CLIA Number23D0979608

Laboratory TypePhysician Office

Certificate Effective DateOctober 26, 2024

Certificate Expiration DateOctober 25, 2026

Laboratory DirectorMaureen A. Kelly

Laboratory Phone(248) 451-0600

Laboratory LocationMaureen A Kelly, MD, PLLC43205 Woodward Avenue, Bloomfield Hills, MI 48302

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. SHEILA RAO MD

Pediatrics