PEGGY E KELLEY MD
NPI 1689777476
Otolaryngology - Pediatric Otolaryngology in Portland, OR

Q: What is Peggy Kelley's NPI number?

The NPI number for Peggy Kelley is 1689777476. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Q: What is Peggy Kelley's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Q: When was this NPI record last updated?

The NPPES record for Peggy Kelley was last updated on March 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 07, 2006PECOS Enrolled

9427 SW BARNES RD STE 395, PORTLAND, OR 97225(503) 216-6050 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2021, Feb 15, 2021 (2 updates tracked since 2021).

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About Peggy E Kelley Md NPPES

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

PEGGY E KELLEY MD (NPI 1689777476) is an individual pediatric otolaryngology provider in Portland, Oregon, licensed in Oregon (MD196930) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1689777476

Entity TypeIndividualFemale

Primary Taxonomy207YP0228X

Provider Legal NamePEGGY E KELLEYCredential: MD

Location Address9427 SW BARNES RD STE 395Portland, OR 97225-6652

Mailing AddressPo Box 3158Portland, OR 97208-3158 · (503) 215-6494

Phone(503) 216-6050

Sole ProprietorNo

Enumeration DateSeptember 7, 2006

Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration

NPPES CertifiedMarch 18, 2021

✔ NPI 1689777476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207YP0228X

Licenses✔ Licensed in OR · MD196930✔ Licensed in CO · 37368

Definition

A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

9427 SW BARNES RD STE 395, Portland, OR 97225

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Secondary Practice Location 1

Location 113123 E 16th AveAurora, CO 80045-7106 · Phone (720) 777-1234

Other Identifiers 1

Medicaid01373687CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peggy E Kelley Md 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.

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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.

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