MATTHEW P. KELLY MD
NPI 1720159635
Neuromusculoskeletal Medicine & OMM in Los Angeles, CA

Q: What is Matthew Kelly's NPI number?

The NPI number for Matthew Kelly is 1720159635. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Q: What is Matthew Kelly's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Kelly was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 November 13, 2006PECOS EnrolledAccepts Medicare Assignment

4733 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Matthew P. Kelly Md NPPES

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

MATTHEW P. KELLY MD (NPI 1720159635) is an individual neuromusculoskeletal medicine & omm provider in Los Angeles, California, licensed in California (A90569) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (1994).

NPPES Registry Identity

NPI1720159635

Entity TypeIndividualMale

Primary Taxonomy204D00000X

Provider Legal NameMATTHEW P. KELLYCredential: MD

Location Address4733 W SUNSET BLVDLos Angeles, CA 90027-6021

Mailing Address4733 W Sunset BlvdLos Angeles, CA 90027-6021 · (323) 783-4011

Phone(323) 783-4011

Sole ProprietorNo

Medical School CMSGeisel School Of Medicine At DartmouthGraduated 1994

Enumeration DateNovember 13, 2006

Last NPPES UpdateNovember 22, 2021

✔ NPI 1720159635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians

Taxonomy Code204D00000X

License✔ Licensed in CA · A90569

Definition

The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.

4733 W SUNSET BLVD, Los Angeles, CA 90027

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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

Matthew P. Kelly Md 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 ID5294798161

PECOS Enrollment IDI20051024000610

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

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