DR. KENNETH J KELLY M.D.
NPI 1730224908
Emergency Medicine - Undersea and Hyperbaric Medicine in San Diego, CA

Q: What is Kenneth Kelly's NPI number?

The NPI number for Kenneth Kelly is 1730224908. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Kenneth Kelly's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 February 21, 2007PECOS EnrolledAccepts Medicare Assignment

92.57/100

CMS Quality Rating

2000 TRIDENT WAY, SAN DIEGO, CA 92155(808) 474-9333(619) 437-3197 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Kenneth J Kelly M.d. NPPES

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

DR. KENNETH J KELLY M.D. (NPI 1730224908) is an individual undersea and hyperbaric medicine provider in San Diego, California, licensed in Hawaii (MD7948) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Michigan State University College Of Human Medicine (1989).

NPPES Registry Identity

NPI1730224908

Entity TypeIndividualMale

Primary Taxonomy207PE0005X

Provider Legal NameDR. KENNETH J KELLYCredential: M.D.

Location Address2000 TRIDENT WAYSan Diego, CA 92155-5599

Mailing Address2000 Trident WaySan Diego, CA 92155-5599 · (808) 474-9333 · Fax (619) 437-3197

Phone(808) 474-9333

Fax(619) 437-3197

Sole ProprietorYes

Medical School CMSMichigan State University College Of Human MedicineGraduated 1989

Enumeration DateFebruary 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730224908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207PE0005X

License✔ Licensed in HI · MD7948

Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.

2000 TRIDENT WAY, San Diego, CA 92155

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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

Dr. Kenneth J Kelly M.d. 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 ID5092087924

PECOS Enrollment IDI20170828000537

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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

129 services127 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

115 services111 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

113 services112 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260183

Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92155 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.03

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 12

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

BRUCE JOHNSTON

Specialist/Technologist (Athletic Trainer)

2000 TRIDENT WAY
SAN DIEGO, CA 92155

San Diego County (513) 641-6644

ASHLEIGH NAVE

Military Health Care Provider

2000 TRIDENT WAY
SAN DIEGO, CA 92155

San Diego County (757) 763-4006

DR. SCOTT LOUCKS JOHNSTON PHD

Psychologist (Clinical)

2000 TRIDENT WAY
SAN DIEGO, CA 92155

San Diego County (619) 537-5117

BAILEY HARVEY

General Practice

2000 TRIDENT WAY
SAN DIEGO, CA 92155

San Diego County (619) 993-6423

KATHERINE ANNA PERLSWEIG MS, ATC, LAT, CSCS

Specialist/Technologist (Athletic Trainer)

2000 TRIDENT WAY, BLDG 624
SAN DIEGO, CA 92155

San Diego County (619) 437-1404

KORRINA RENE SCHINDLER PA, MPAS

Physician Assistant

2000 TRIDENT WAY, MEDICAL DEPARTMENT CODE 04
SAN DIEGO, CA 92155

San Diego County (619) 437-2496

DR. TIMOTHY W DEY PT, DPT, SCS, CSCS

Physical Therapist

2000 TRIDENT WAY, BLDG #636
SAN DIEGO, CA 92155

San Diego County (619) 537-3816

JILL BIGGANE RN

Registered Nurse (Case Management)

2000 TRIDENT WAY, BLDG 600 LOGSU
SAN DIEGO, CA 92155

San Diego County (619) 537-3281

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 Kenneth Kelly's NPI number?

The NPI number for Kenneth Kelly is 1730224908. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Kenneth Kelly located?

Kenneth Kelly practices at 2000 Trident Way, San Diego, CA 92155. The listed phone number is (808) 474-9333.

What is Kenneth Kelly's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is Kenneth Kelly enrolled in Medicare?

Yes. Kenneth 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.

Is Kenneth Kelly affiliated with any hospitals?

According to CMS data, Kenneth Kelly is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Kenneth Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.