SEAN CHRISTOPHER KELLY M.D.
NPI 1679929871
Orthopaedic Surgery - Sports Medicine in Ukiah, CA

Q: What is Sean Kelly's NPI number?

The NPI number for Sean Kelly is 1679929871. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Q: What is Sean Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Sean Kelly was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.

Active since May 06, 2016PECOS EnrolledAccepts Medicare Assignment

260 HOSPITAL DR STE 107, UKIAH, CA 95482(707) 467-5278(707) 463-7373 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, Jul 21, 2022, Jun 14, 2017 (3 updates tracked since 2017).

On this page

About Sean Christopher Kelly M.d. NPPES

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

SEAN CHRISTOPHER KELLY M.D. (NPI 1679929871) is an individual sports medicine provider in Ukiah, California, licensed in California (A160318) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of University Of Louisville School Of Medicine (2016).

NPPES Registry Identity

NPI1679929871

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameSEAN CHRISTOPHER KELLYCredential: M.D.

Location Address260 HOSPITAL DR STE 107Ukiah, CA 95482-4568

Mailing Address260 Hospital Dr Ste 107Ukiah, CA 95482-4568 · (707) 467-5278 · Fax (707) 463-7373

Phone(707) 467-5278

Fax(707) 463-7373

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2016

Enumeration DateMay 6, 2016

Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1679929871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · A160318

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 289792 (NY)

Also ListedSurgeryTaxonomy 208600000X · License R75527 (AZ)

260 HOSPITAL DR STE 107, Ukiah, CA 95482

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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 and accepts Medicare assignment

Sean Christopher Kelly M.d. 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 ID2163715202

PECOS Enrollment IDI20240923000728

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.

Other Providers at the Same Location NPPES 2

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

DR. EPHRAIM DICKINSON M.D.

Orthopaedic Surgery

260 HOSPITAL DR STE 107
UKIAH, CA 95482

Mendocino County (707) 467-5278

DR. BRIAN SCOTT GOULD D.O.

Family Medicine (Sports Medicine)

260 HOSPITAL DR STE 107
UKIAH, CA 95482

Mendocino County (707) 467-5278

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 Sean Kelly's NPI number?

The NPI number for Sean Kelly is 1679929871. It was assigned to this individual provider in the NPPES registry on May 6, 2016.

Where is Sean Kelly located?

Sean Kelly practices at 260 Hospital Dr Ste 107, Ukiah, CA 95482. The listed phone number is (707) 467-5278.

What is Sean Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Sean Kelly enrolled in Medicare?

Yes. Sean 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.

When was this NPI record last updated?

The NPPES record for Sean Kelly was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.