DR. GERALD KELLY D.O.
NPI 1659308492
Family Medicine in East Setauket, NY
About Dr. Gerald Kelly D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GERALD KELLY D.O. (NPI 1659308492) is an individual family medicine provider in East Setauket, New York, licensed in New York (197099) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Gerald Kelly D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gerald Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stony Brook, NY 11794
- Reassigned Medicare billing, New York enrollment
- 55 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11733 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST SETAUKET, NY 11733
EAST SETAUKET, NY 11733
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 Gerald Kelly's NPI number?
The NPI number for Gerald Kelly is 1659308492. It was assigned to this individual provider in the NPPES registry on June 27, 2006.
Where is Gerald Kelly located?
Gerald Kelly practices at 181 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (111) 111-1111.
What is Gerald Kelly's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Gerald Kelly enrolled in Medicare?
Yes. Gerald Kelly is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gerald Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gerald Kelly reassigns Medicare benefits to Stony Brook Family And Preventive Medicine, University Faculty Practic (Stony Brook, NY). The 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 Gerald Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gerald Kelly was last updated on September 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Gerald Kelly, D.O. · NPI 1659308492
Family Medicine physician in East Setauket, New York. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1659308492 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 197099 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 181 N BELLE MEAD RD, East Setauket, NY 11733-3495
- **Phone:** (111) 111-1111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Stony Brook Family And Preventive Medicine, University Faculty Practic (NPI 1982659470, Stony Brook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2021
- **Other identifiers:** Other 650571 (NY); Other 5932405 (NY); Medicaid 01654411 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1659308492) · Data from the CMS NPPES public registry.