SHAUNDA ELYSE KELLY MD, DMD
NPI 1659540508
Dentist - Oral and Maxillofacial Surgery in Birmingham, AL
About Shaunda Elyse Kelly Md, Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUNDA ELYSE KELLY MD, DMD (NPI 1659540508) is an individual oral and maxillofacial surgery provider in Birmingham, Alabama, licensed in Alabama (5395) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 12
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
Shaunda Elyse Kelly Md, Dmd 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.
Medicare Billing Reassignments
3Medicare enrollment records show Shaunda Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
Hoover, AL 35244
- Reassigned Medicare billing, Alabama enrollment
- 3 clinicians in this Medicare group
Orange City, FL 32763
- Reassigned Medicare billing, Florida enrollment
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 35233 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.
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
BIRMINGHAM, AL 35233
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 Shaunda Kelly's NPI number?
The NPI number for Shaunda Kelly is 1659540508. It was assigned to this individual provider in the NPPES registry on February 25, 2008.
Where is Shaunda Kelly located?
Shaunda Kelly practices at 2000 6th Ave S, Birmingham, AL 35233. The listed phone number is (205) 934-9999.
What is Shaunda Kelly's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Shaunda Kelly enrolled in Medicare?
Yes. Shaunda 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 Shaunda Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaunda Kelly reassigns Medicare benefits to 3 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL), Renew You Health & Wellness LLC (Hoover, AL) and Surgical & Sleep Solutions PLLC (Orange City, FL). 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 Shaunda Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shaunda Kelly accept?
Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Montana and 14 other insurers list Shaunda 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.
When was this NPI record last updated?
The NPPES record for Shaunda Kelly was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shaunda Elyse Kelly, MD, DMD · NPI 1659540508
Oral and Maxillofacial Surgery provider in Birmingham, Alabama. Individual provider, active in the CMS NPPES registry since February 25, 2008.
## Identity
- **NPI:** 1659540508 (Entity type: Individual)
- **Enumerated:** February 25, 2008
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **State license:** 5395 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 6TH AVE S, Birmingham, AL 35233-2110
- **Phone:** (205) 934-9999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Alabama Health Services Foundation, PC (NPI 1124213376, Birmingham, AL); Renew You Health & Wellness LLC (NPI 1407530025, Hoover, AL); Surgical & Sleep Solutions PLLC (NPI 1558137604, Orange City, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** March 14, 2012
- **Other identifiers:** Other 051118221 (AL); Medicaid 130495 (AL); Medicaid 130492 (AL); and 9 more
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Source: [NPI Profile](https://npiprofile.com/npi/1659540508) · Data from the CMS NPPES public registry.