MR. CONOR MARK KELLY DO
NPI 1639011885
Student in an Organized Health Care Education/Training Program in Boca Raton, FL

Active since April 07, 2026PECOS Enrolled
700 GLADES RD, BOCA RATON, FL 33431(561) 617-3879 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Conor Mark Kelly Do NPPES

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

MR. CONOR MARK KELLY DO (NPI 1639011885) is an individual student in an organized health care education/training program in Boca Raton, Florida and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639011885
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. CONOR MARK KELLYCredential: DO
Location Address700 GLADES RDBoca Raton, FL 33431
Mailing Address700 Glades RdBoca Raton, FL 33431 · (561) 617-3879
Sole ProprietorNo
Enumeration DateApril 7, 2026
NPPES CertifiedMarch 31, 2026
NPI 1639011885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
700 GLADES RD, Boca Raton, FL 33431

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Conor Mark Kelly Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Conor Kelly's NPI number?

The NPI number for Conor Kelly is 1639011885. It was assigned to this individual provider in the NPPES registry on April 7, 2026.

Where is Conor Kelly located?

Conor Kelly practices at 700 Glades Rd, Boca Raton, FL 33431. The listed phone number is (561) 617-3879.

What is Conor Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Conor Kelly enrolled in Medicare?

Yes. Conor Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Conor Kelly was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.