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MR. PATRICK JOHN KELLY PA
NPI 1720409824
Physician Assistant in Astoria, NY

Active since December 17, 2013PECOS Enrolled
3318 BROADWAY, ASTORIA, NY 11106(718) 204-7550(718) 204-7566 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Patrick John Kelly Pa NPPES

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

MR. PATRICK JOHN KELLY PA (NPI 1720409824) is an individual physician assistant in Astoria, New York, licensed in New York (P91199) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720409824
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. PATRICK JOHN KELLYCredential: PA
Location Address3318 BROADWAYAstoria, NY 11106-1806
Mailing Address3854 Niami StSeaford, NY 11783-3543 · (516) 477-8325
Phone(718) 204-7550
Fax(718) 204-7566
Sole ProprietorNo
Enumeration DateDecember 17, 2013
✔ NPI 1720409824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · P91199
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3318 BROADWAY, Astoria, NY 11106
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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 (PECOS)

Mr. Patrick John Kelly Pa 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 11106 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
Most-billed visit code 99213
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.

DR. JOSHUA ISHAL DDS
Dentist
3318 BROADWAY
ASTORIA, NY 11106
Queens County (646) 924-5548

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 Patrick Kelly's NPI number?

The NPI number for Patrick Kelly is 1720409824. It was assigned to this individual provider in the NPPES registry on December 17, 2013.

Where is Patrick Kelly located?

Patrick Kelly practices at 3318 Broadway, Astoria, NY 11106. The listed phone number is (718) 204-7550.

What is Patrick Kelly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Patrick Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Patrick Kelly was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.