THOMAS HAROLD KELLY MD
NPI 1639663891
Radiology - Diagnostic Radiology in Raleigh, NC

Active since June 20, 2018PECOS EnrolledAccepts Medicare Assignment
5220 GREENS DAIRY RD, RALEIGH, NC 27616(919) 781-1437 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 1, 2024, Jun 20, 2018 (2 updates tracked since 2018).

About Thomas Harold Kelly Md NPPES

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

THOMAS HAROLD KELLY MD (NPI 1639663891) is an individual diagnostic radiology provider in Raleigh, North Carolina, licensed in North Carolina (2024-00823) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639663891
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameTHOMAS HAROLD KELLYCredential: MD
Location Address5220 GREENS DAIRY RDRaleigh, NC 27616-4612
Mailing Address5220 Greens Dairy RdRaleigh, NC 27616-4612 · (919) 781-1437
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2018
Enumeration DateJune 20, 2018
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1639663891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in NC · 2024-00823✔ Licensed in VA · 0101281313✔ Licensed in SC · 52709
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5220 GREENS DAIRY RD, Raleigh, NC 27616

Secondary Practice Locations 2

Location 1171 Ashley AveCharleston, SC 29425-8908 · Phone (843) 792-5976
Location 21901 Tate Springs RdLynchburg, VA 24501-1109 · Phone (434) 200-5047

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Harold Kelly Md 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 ID3678826351
PECOS Enrollment IDI20240326001763, I20240429001273
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Thomas Kelly reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 61 clinicians in this Medicare group
Diagnostic Radiology
3200 BLUE RIDGE RD, SUITE 100
Raleigh, NC 27612
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
Diagnostic Radiology
11640 NORTHPARK DR STE 110
Wake Forest, NC 27587
  • Reassigned Medicare billing, North Carolina enrollment
  • 62 clinicians in this Medicare group
Family Medicine
3300 RIVERMONT AVE
Lynchburg, VA 24503
  • Reassigned Medicare billing, North Carolina and South Carolina enrollments
  • 31 clinicians in this Medicare group
Multi-Specialty
1200 JOHNNIE DODDS BLVD
Mt Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
  • 2,594 clinicians in this Medicare group
Internal Medicine
506 NORTH ST
Bamberg, SC 29003
  • Reassigned Medicare billing, South Carolina enrollment
  • 2,389 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 24

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.

Injection, gadobutrol, 0.1 ml A9585
Gadobutrol is a contrast agent used during MRI scans to help provide clearer images. It's injected into your vein before the scan. This helps doctors to see certain areas more clearly for better diagnosis. It's generally safe with few side effects.
1,600 services16 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
181 services176 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
151 services124 patients
Ct scan of blood vessels of head with contrast 70496
A CT scan of the head's blood vessels with contrast is a diagnostic procedure. A special dye (contrast) is injected into your body to make the blood vessels visible on the scan. This helps identify issues like blockages or abnormalities in your head's blood vessels.
101 services100 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
100 services99 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
78 services78 patients

Hospital Affiliations CMS Care Compare 5

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

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wilson Medical Center

Acute Care Hospitals · Wilson, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340126
Location1705 S Tarboro StWilson, NC 27893 · Wilson County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

East Cooper Medical Center

Acute Care Hospitals · Mount Pleasant, SC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number420089
Location2000 Hospital DrMount Pleasant, SC 29464 · Charleston County
Emergency services Birthing friendly

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27616 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 7

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

Physician Assistant
5220 GREENS DAIRY RD
RALEIGH, NC 27616
Radiology (Diagnostic Radiology)
5220 GREENS DAIRY RD
RALEIGH, NC 27616
Radiology (Diagnostic Radiology)
5220 GREENS DAIRY RD
RALEIGH, NC 27616
Radiology (Neuroradiology)
5220 GREENS DAIRY RD
RALEIGH, NC 27616
Physician Assistant
5220 GREENS DAIRY RD
RALEIGH, NC 27616
Radiology (Pediatric Radiology)
5220 GREENS DAIRY RD
RALEIGH, NC 27616
Radiology (Diagnostic Radiology)
5220 GREENS DAIRY RD
RALEIGH, NC 27616

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 Thomas Kelly's NPI number?

The NPI number for Thomas Kelly is 1639663891. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Where is Thomas Kelly located?

Thomas Kelly practices at 5220 Greens Dairy Rd, Raleigh, NC 27616. The listed phone number is (919) 781-1437.

What is Thomas Kelly's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Thomas Kelly enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Kelly reassigns Medicare benefits to 6 organizations: Raleigh Radiology Associates, Inc. (Raleigh, NC), Raleigh Radiology, LLC (Raleigh, NC), Raleigh Radiology Wakemed Imaging, LLC (Wake Forest, NC), Centra Medical Group, LLC (Lynchburg, VA), University Medical Associates (Mt Pleasant, SC) and 1 more organization, listed in the Medicare section above. Each 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 Thomas Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Kelly accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Thomas 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 Thomas Kelly affiliated with any hospitals?

According to CMS data, Thomas Kelly is affiliated with Wakemed, Raleigh Campus, Wilson Medical Center, Wakemed, Cary Hospital, East Cooper Medical Center and Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Kelly was last updated on July 1, 2024. 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.