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JOHN DANIEL KELLY M.D.
NPI 1730324740
Internal Medicine in Houston, TX

Active since December 04, 2008PECOS Enrolled
2002 HOLCOMBE BLVD, HOUSTON, TX 77030(713) 791-1414 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Daniel Kelly M.d. NPPES

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

JOHN DANIEL KELLY M.D. (NPI 1730324740) is an individual internal medicine provider in Houston, Texas, licensed in Texas (N7442) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Santa Rosa.

NPPES Registry Identity

NPI1730324740
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN DANIEL KELLYCredential: M.D.
Location Address2002 HOLCOMBE BLVDHouston, TX 77030-4211
Mailing Address1 Hermann Museum Circle Dr, Apt 2114Houston, TX 77004-7174
Phone(713) 791-1414
Sole ProprietorYes
Enumeration DateDecember 4, 2008
Last NPPES UpdateMarch 6, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1730324740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · N7442
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License A123809 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2002 HOLCOMBE BLVD, Houston, TX 77030
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Secondary Practice Location 1

Location 11165 Montgomery DrSanta Rosa, CA 95405-4801 · Phone (707) 547-5437

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Daniel Kelly M.d. 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.

Medicare Billing Reassignment

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

City & County Of San Francisco
1,643 mi
Clinic/Center
901 FAIRFAX AVE STE C
San Francisco, CA 94124
  • Reassigned Medicare billing, California enrollment
  • 1,573 clinicians in this Medicare group
NPI 1689536799 (628) 217-5220

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

MR. ASHLEY SHAQUELLE MITCHELL LMSW
Social Worker
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
MR. PAUL EDWARD WHITE RN
Registered Nurse
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 794-7559
ELWYN WAYNE WELCH PHARMD
Pharmacist
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
ANNA LEE
Psychologist (Clinical)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
EMILY KALANTAR PHD
Psychologist (Clinical)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
LEAH EMERY PHD
Psychologist (Clinical)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (406) 697-5780
MRS. JENNAN SWAFFORD RN, MSN
Registered Nurse (Psychiatric/Mental Health, Adult)
2002 HOLCOMBE BLVD
HOUSTON, TX 77030
Harris County (713) 791-1414
ANITA JEAN WHITEHEAD M.A.
Speech-Language Pathologist
2002 HOLCOMBE BLVD, 126
HOUSTON, TX 77030
Harris County (713) 794-7112

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 John Kelly's NPI number?

The NPI number for John Kelly is 1730324740. It was assigned to this individual provider in the NPPES registry on December 4, 2008.

Where is John Kelly located?

John Kelly practices at 2002 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 791-1414.

What is John Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Kelly enrolled in Medicare?

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

Which organization bills Medicare for John Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Kelly reassigns Medicare benefits to City & County Of San Francisco (San Francisco, CA). 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 John 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 John Kelly was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.