1. Home
  2. Directory
  3. New York
  4. Commack
  5. Pediatrics
  6. NPI Profile

DR. KELLY GILGEOURS MD
NPI 1710419544
Pediatrics in Commack, NY

Active since March 30, 2017PECOS Enrolled
500 COMMACK RD STE 104, COMMACK, NY 11725(631) 638-0150(631) 638-0157 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2026, Jun 8, 2020, Mar 30, 2017 (3 updates tracked since 2017).

About Dr. Kelly Gilgeours Md NPPES

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

DR. KELLY GILGEOURS MD (NPI 1710419544) is an individual pediatrics provider in Commack, New York, licensed in New York (303300) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710419544
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KELLY GILGEOURSCredential: MD
Location Address500 COMMACK RD STE 104Commack, NY 11725-5020
Mailing Address500 Commack Rd Ste 104Commack, NY 11725-5020 · (631) 638-0150 · Fax (631) 638-0157
Phone(631) 638-0150
Fax(631) 638-0157
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateMarch 27, 20263 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
✔ NPI 1710419544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 303300
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.
500 COMMACK RD STE 104, Commack, NY 11725
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kelly Gilgeours Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880931419
PECOS Enrollment IDI20250826000521
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 11725 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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

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

RAYAN KTEISH MD
Pediatrics
500 COMMACK RD STE 104
COMMACK, NY 11725
Suffolk County (631) 444-5437

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 Kelly Gilgeours's NPI number?

The NPI number for Kelly Gilgeours is 1710419544. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Kelly Gilgeours located?

Kelly Gilgeours practices at 500 Commack Rd Ste 104, Commack, NY 11725. The listed phone number is (631) 638-0150.

What is Kelly Gilgeours's specialty?

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

Is Kelly Gilgeours enrolled in Medicare?

Yes. Kelly Gilgeours is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Gilgeours was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.