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KELLY W RISING MD
NPI 1659365674
Obstetrics & Gynecology in Beaumont, TX

Active since September 06, 2005Opted out of Medicare · through Jan 1, 2027
755 N 11TH ST, SUITE P4200, BEAUMONT, TX 77702(409) 899-1499(409) 899-1354 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly W Rising Md NPPES

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

KELLY W RISING MD (NPI 1659365674) is an individual obstetrics & gynecology provider in Beaumont, Texas, licensed in Texas (J1129) and active in the NPI registry since September 2005. He has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1659365674
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKELLY W RISINGCredential: MD
Location Address755 N 11TH ST, SUITE P4200Beaumont, TX 77702-1501
Mailing Address755 N 11th St, Suite P4200Beaumont, TX 77702-1501 · (409) 899-1499 · Fax (409) 899-1354
Phone(409) 899-1499
Fax(409) 899-1354
Sole ProprietorNo
Enumeration DateSeptember 6, 2005
Last NPPES UpdateMay 29, 2008
✔ NPI 1659365674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · J1129
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
755 N 11TH ST, Beaumont, TX 77702
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Other Identifiers 5

Medicaid124919502TX
Medicare UPINF83507
Medicare ID-Type Unspecified00T40R
Medicare PIN81Y846TX
Other160036971TX · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kelly W Rising Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2011 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2011
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77702 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
$124.88 typical visit price
range $54.04 – $164.93
Typical copayment $31.22 (range $13.51 – $41.23)
Most-billed visit code 99204
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
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 20

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

MRS. BONNI BLUE STANCOVEN CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MUSTAFA IBRAHIM MUSA M.D.
Internal Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Jefferson County (409) 898-2994
DR. TOBIN A. SLACK M.D.
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MARIA SUSAN BLAHEY MD
Family Medicine
755 N 11TH ST, SUITE P-5200
BEAUMONT, TX 77702
Jefferson County (409) 898-2994
STEVEN CHAD WILLIAMS CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DR. MICHAEL J. MCCREDIE M.D.
Anesthesiology
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
DEREK CHAMBLESS CRNA
Nurse Anesthetist, Certified Registered
755 N 11TH ST, SUITE P3600
BEAUMONT, TX 77702
Jefferson County (409) 838-5214
SHEILA DIAN DEVAUGH APRN
Nurse Practitioner (Family)
755 N 11TH ST, STE. P2200
BEAUMONT, TX 77702
Jefferson County (409) 892-1192

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 Kelly Rising's NPI number?

The NPI number for Kelly Rising is 1659365674. It was assigned to this individual provider in the NPPES registry on September 6, 2005.

Where is Kelly Rising located?

Kelly Rising practices at 755 N 11th St Suite P4200, Beaumont, TX 77702. The listed phone number is (409) 899-1499.

What is Kelly Rising's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kelly Rising enrolled in Medicare?

No. Kelly Rising has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kelly Rising was last updated on May 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.