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CAROLYN KELLY D.P.M.
NPI 1619264041
Podiatrist - Foot & Ankle Surgery in Bolingbrook, IL

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment
396 REMINGTON BLVD STE 370, BOLINGBROOK, IL 60440(630) 418-6601(630) 312-2223 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2019, Jul 16, 2019 (2 updates tracked since 2019).

About Carolyn Kelly D.p.m. NPPES

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

CAROLYN KELLY D.P.M. (NPI 1619264041) is an individual foot & ankle surgery provider in Bolingbrook, Illinois, licensed in Illinois (016.005524) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains a secondary practice location in Bolingbrook.

NPPES Registry Identity

NPI1619264041
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameCAROLYN KELLYCredential: D.P.M.
Location Address396 REMINGTON BLVD STE 370Bolingbrook, IL 60440-4302
Mailing Address396 Remington Blvd Ste 370Bolingbrook, IL 60440-4302 · (630) 418-6601 · Fax (630) 312-2223
Phone(630) 418-6601
Fax(630) 312-2223
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 6, 2011
Last NPPES UpdateAugust 12, 20192 updates tracked since enumeration
✔ NPI 1619264041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in IL · 016.005524
Also ListedPodiatristTaxonomy 213E00000X · License 135000752 (IL)
Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License 016005524 (IL)
396 REMINGTON BLVD STE 370, Bolingbrook, IL 60440
Open in Google Maps ↗

Secondary Practice Location 1

Location 1256 Tudor CourtBolingbrook, IL 60440-2056 · Phone (630) 294-0810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn Kelly D.p.m. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941424675
PECOS Enrollment IDI20140618002303
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
97 services72 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County
Emergency services

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 Carolyn Kelly's NPI number?

The NPI number for Carolyn Kelly is 1619264041. It was assigned to this individual provider in the NPPES registry on July 6, 2011.

Where is Carolyn Kelly located?

Carolyn Kelly practices at 396 Remington Blvd Ste 370, Bolingbrook, IL 60440. The listed phone number is (630) 418-6601.

What is Carolyn Kelly's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Carolyn Kelly enrolled in Medicare?

Yes. Carolyn Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Carolyn Kelly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Carolyn Kelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carolyn Kelly affiliated with any hospitals?

According to CMS data, Carolyn Kelly is affiliated with John H Stroger Jr Hospital and Provident Hospital Of Chicago.

When was this NPI record last updated?

The NPPES record for Carolyn Kelly was last updated on August 12, 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.