MR. TIMOTHY JOSEPH KELLY MD
NPI 1730297748
Internal Medicine - Addiction Medicine in Indianapolis, IN

Q: What is Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1730297748. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Kelly was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 29, 2006PECOS Enrolled

7165 CLEARVISTA WAY, INDIANAPOLIS, IN 46256(317) 621-5100(317) 621-7896 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Timothy Joseph Kelly Md NPPES

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

MR. TIMOTHY JOSEPH KELLY MD (NPI 1730297748) is an individual addiction medicine provider in Indianapolis, Indiana, licensed in Indiana (01028972) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730297748

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameMR. TIMOTHY JOSEPH KELLYCredential: MD

Location Address7165 CLEARVISTA WAYIndianapolis, IN 46256-4621

Mailing Address6626 E 75th Street, Ste 500Indianapolis, IN 46250-2890

Phone(317) 621-5100

Fax(317) 621-7896

Sole ProprietorNo

Enumeration DateAugust 29, 2006

Last NPPES UpdateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1730297748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in IN · 01028972

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 01028972 (IN)

7165 CLEARVISTA WAY, Indianapolis, IN 46256

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Other Identifiers 5

Other000000078852IN · Anthem

Other000000871759IN · Anthem

Medicaid100333150IN

Other000000871726IN · Anthem

Other000000872285IN · Anthem

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. Timothy Joseph Kelly Md 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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

59 services26 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services11 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46256 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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Other Providers at the Same Location NPPES 20

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

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