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TIMOTHY MICHAEL KELLY DC
NPI 1730218736
Chiropractor in East Greenbush, NY

Active since March 05, 2007Accepts Medicare Assignment
569 COLUMBIA TURNPIKE, EAST GREENBUSH, NY 12061(518) 477-5000(518) 477-5009 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 8, 2018, Oct 5, 2018 (2 updates tracked since 2018).

About Timothy Michael Kelly Dc NPPES

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

TIMOTHY MICHAEL KELLY DC (NPI 1730218736) is an individual chiropractor in East Greenbush, New York, licensed in New York (X0075341) and active in the NPI registry since March 2007. He is a graduate of New York Chiropractic College (2012).

NPPES Registry Identity

NPI1730218736
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameTIMOTHY MICHAEL KELLYCredential: DC
Location Address569 COLUMBIA TURNPIKEEast Greenbush, NY 12061
Mailing Address569 Columbia TurnpikeEast Greenbush, NY 12061 · (518) 477-5000 · Fax (518) 477-5009
Phone(518) 477-5000
Fax(518) 477-5009
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 2012
Enumeration DateMarch 5, 2007
Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration
✔ NPI 1730218736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · X0075341
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
569 COLUMBIA TURNPIKE, East Greenbush, NY 12061
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Michael Kelly Dc 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 ID1557313095
PECOS Enrollment IDI20080305000658

Medicare Billing Reassignment

Medicare enrollment records show Timothy Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Greenbush Chiropractic PLLC
Same address
Chiropractor
569 COLUMBIA TURNPIKE
East Greenbush, NY 12061
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1639645419 (518) 477-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
2,376 services152 patients

Other Providers at the Same Location NPPES 3

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

EAST GREENBUSH CHIROPRACTIC PLLC
Chiropractor
569 COLUMBIA TURNPIKE
EAST GREENBUSH, NY 12061
Rensselaer County (518) 477-5000
MS. DEBORAH JEAN TORRANCE LIC. AC, DIPL. AC
Acupuncturist
569 COLUMBIA TURNPIKE
EAST GREENBUSH, NY 12061
Rensselaer County (518) 479-7979
EAST GREENBUSH CHIROPRACTIC PLLC
Chiropractor
569 COLUMBIA TURNPIKE
EAST GREENBUSH, NY 12061
Rensselaer County (518) 477-5000

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1730218736. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Timothy Kelly located?

Timothy Kelly practices at 569 Columbia Turnpike, East Greenbush, NY 12061. The listed phone number is (518) 477-5000.

What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Timothy Kelly enrolled in Medicare?

Yes. Timothy Kelly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Timothy Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Kelly reassigns Medicare benefits to East Greenbush Chiropractic PLLC (East Greenbush, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.