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TIMOTHY F. KELLEY, M.D., INC.
NPI 1609948843
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Newport Beach, CA

Active since November 14, 2006
520 SUPERIOR AVE STE 315, NEWPORT BEACH, CA 92663(949) 645-3223(949) 645-3222 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Jan 18, 2017, Nov 16, 2016 (3 updates tracked since 2016).

About Timothy F. Kelley, M.d., Inc. NPPES

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

TIMOTHY F. KELLEY, M.D., INC. (NPI 1609948843) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Newport Beach, California and active in the NPI registry since November 2006. The organization lists Timothy F Kelley, Owner, as its authorized official.

NPPES Registry Identity

NPI1609948843
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameTIMOTHY F. KELLEY, M.D., INC.
Location Address520 SUPERIOR AVE STE 315Newport Beach, CA 92663-3667
Mailing AddressPo Box 2975Suisun City, CA 94585-5975 · (657) 241-3600 · Fax (657) 241-7708
Phone(949) 645-3223
Fax(949) 645-3222
Organization SubpartNo
Authorized OfficialTimothy F KelleyOwner · (949) 645-3223
Enumeration DateNovember 14, 2006
Last NPPES UpdateNovember 3, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1609948843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
520 SUPERIOR AVE STE 315, Newport Beach, CA 92663
Open in Google Maps ↗

Other Identifiers 1

Medicaid00G789990CA

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)

Timothy F. Kelley, M.d., Inc. 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 Timothy F. Kelley, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Kelley, MD
Otolaryngology
NPI 1871528802
520 SUPERIOR AVE STE 315
Newport Beach, CA 92663
(949) 645-3223
✔ 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 Timothy F. Kelley, M.D., Inc.'s NPI number?

The NPI number for Timothy F. Kelley, M.D., Inc. is 1609948843. It was assigned to this organization in the NPPES registry on November 14, 2006.

Where is Timothy F. Kelley, M.D., Inc. located?

Timothy F. Kelley, M.D., Inc. is located at 520 Superior Ave Ste 315, Newport Beach, CA 92663. The listed phone number is (949) 645-3223.

What is Timothy F. Kelley, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Timothy F. Kelley, M.D., Inc. enrolled in Medicare?

Yes. Timothy F. Kelley, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Timothy F. Kelley, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Otolaryngology) reassigns their Medicare billing to Timothy F. Kelley, M.D., Inc.. 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 Timothy F. Kelley, M.D., Inc. was last updated on November 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.