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ALEXANDRA GABRIELLE KELLEY DO
NPI 1689201279
Pediatrics in San Francisco, CA

Active since March 24, 2020PECOS Enrolled
1975 4TH ST, SAN FRANCISCO, CA 94143(415) 514-4079 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 3, 2025, Sep 6, 2023, Mar 24, 2020 (3 updates tracked since 2020).

About Alexandra Gabrielle Kelley Do NPPES

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

ALEXANDRA GABRIELLE KELLEY DO (NPI 1689201279) is an individual pediatrics provider in San Francisco, California, licensed in California (20A20847) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689201279
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALEXANDRA GABRIELLE KELLEYCredential: DO
Location Address1975 4TH STSan Francisco, CA 94143-2351
Mailing Address1975 4th StSan Francisco, CA 94143-2351
Phone(415) 514-4079
Sole ProprietorNo
Enumeration DateMarch 24, 2020
Last NPPES UpdateJuly 3, 20253 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1689201279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 20A20847
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1975 4TH ST, San Francisco, CA 94143
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Other Names 1

Professional Name (2)Dr. Gabrielle Kelley

Secondary Practice Locations 2

Location 110833 Le Conte Ave # 12-311Los Angeles, CA 90095-2360 · Phone (310) 825-6861 · Fax (310) 206-2119
Location 2500 University DrHershey, PA 17033-2360 · Phone (800) 243-1455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Gabrielle Kelley Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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.

DR. ABBEY CORIN LEA DPT
Physical Therapist
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-2800
ZSOFIA BANHEGYI LONG MD
Pediatrics
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-5153
DR. DEAN THORSEN
Anesthesiology
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1000
ISABELA COSTA ACPNP
Nurse Practitioner (Pediatrics)
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 514-4089
MEAGAN FUNASAKI
Pharmacist (Pediatrics)
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-1000
MS. MOLLY KOREN LCSW
Social Worker (Clinical)
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-7648
COLBEY RICKLEFS MD
Pediatrics (Adolescent Medicine)
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2002
KARA MORROW NP
Nurse Practitioner (Neonatal)
1975 4TH ST
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-1565

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 Alexandra Gabrielle Kelley's NPI number?

The NPI number for Alexandra Gabrielle Kelley is 1689201279. It was assigned to this individual provider in the NPPES registry on March 24, 2020. The provider is also known as Dr. Gabrielle Kelley.

Where is Alexandra Gabrielle Kelley located?

Alexandra Gabrielle Kelley practices at 1975 4th St, San Francisco, CA 94143. The listed phone number is (415) 514-4079.

What is Alexandra Gabrielle Kelley's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alexandra Gabrielle Kelley enrolled in Medicare?

Yes. Alexandra Gabrielle Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alexandra Gabrielle Kelley was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.