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

Q: 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.

Q: What is Alexandra Gabrielle Kelley's specialty?

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

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: October 25, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Alexandra Gabrielle Kelley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ucsf Pediatrics Associates

3.7 mi

Pediatrics

505 PARNASSUS AVE
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
1,159 clinicians in this Medicare group

NPI 1376614016 (415) 353-2000

University Of California San Francisco

3.7 mi

Surgery

400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143

Reassigned Medicare billing, California enrollment
5,645 clinicians in this Medicare group

NPI 1346329380 (415) 353-2161

Ucsf Medical Group Business Services

3.7 mi

Internal Medicine

400 PARNASSUS AVE
San Francisco, CA 94122

Reassigned Medicare billing, California enrollment
5,544 clinicians in this Medicare group

NPI 1477624104 (415) 353-2808

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 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