SHANNON KELLY M.D - NPI 1669792107 - Pediatrics in San Francisco, CA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

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About Shannon Kelly M.d NPPES

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

SHANNON KELLY M.D (NPI 1669792107) is an individual pediatric hematology-oncology provider in San Francisco, California, licensed in California (A100334) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669792107

Entity TypeIndividualFemale

Primary Taxonomy2080P0207X

Provider Legal NameSHANNON KELLYCredential: M.D

Location Address270 MASONIC AVESan Francisco, CA 94118-4417

Mailing Address3201 Cutter WaySacramento, CA 95818-4437 · (504) 319-1574

Phone(504) 319-1574

Sole ProprietorNo

Enumeration DateJune 7, 2010

Last NPPES UpdateMay 13, 2015

✔ NPI 1669792107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in CA · A100334

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Also ListedPathology · Blood Banking & Transfusion MedicineTaxonomy 207ZB0001X · License 100334 (CA)

270 MASONIC AVE, San Francisco, CA 94118

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Kelly M.d 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 6

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

DR. KIM-ANH THI NGUYEN MD, PHD

Pathology (Blood Banking & Transfusion Medicine)