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KELLY MARIE BRINKLEY MD
NPI 1730445495
Pediatrics - Neurodevelopmental Disabilities in Indianapolis, IN

Active since April 06, 2012PECOS Enrolled
8402 HARCOURT RD STE 105, INDIANAPOLIS, IN 46260(317) 582-8290 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2018, Jul 3, 2018 (2 updates tracked since 2018).

About Kelly Marie Brinkley Md NPPES

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

KELLY MARIE BRINKLEY MD (NPI 1730445495) is an individual neurodevelopmental disabilities provider in Indianapolis, Indiana, licensed in Indiana (01078349A) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730445495
Entity TypeIndividualFemale
Primary Taxonomy2080P0008X
Provider Legal NameKELLY MARIE BRINKLEYCredential: MD
Location Address8402 HARCOURT RD STE 105Indianapolis, IN 46260
Mailing Address8402 Harcourt Rd Ste 105Indianapolis, IN 46260-2006
Phone(317) 582-8290
Sole ProprietorNo
Enumeration DateApril 6, 2012
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1730445495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0008X
License✔ Licensed in IN · 01078349A
Definition
A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
8402 HARCOURT RD STE 105, Indianapolis, IN 46260
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marie Brinkley 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.

Medicare Billing Reassignment

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

St Vincent Pediatric Subspecialties
0.1 mi
Pediatrics
2001 W 86TH ST
Indianapolis, IN 46260
  • Reassigned Medicare billing, Indiana enrollment
  • 294 clinicians in this Medicare group
NPI 1013967736 (317) 338-2273

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

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.

MS. BRANDY MARIE HUNT PHD
Psychologist
8402 HARCOURT RD STE 105
INDIANAPOLIS, IN 46260
Marion County (317) 582-8290
JESSICA NELL GREEN MD
Pediatrics (Neurodevelopmental Disabilities)
8402 HARCOURT RD STE 105
INDIANAPOLIS, IN 46260
Marion County (317) 338-3745
PARUL V VORA MD
Pediatrics (Developmental - Behavioral Pediatrics)
8402 HARCOURT RD STE 105
INDIANAPOLIS, IN 46260
Marion County (317) 338-3745

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 Kelly Brinkley's NPI number?

The NPI number for Kelly Brinkley is 1730445495. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Kelly Brinkley located?

Kelly Brinkley practices at 8402 Harcourt Rd Ste 105, Indianapolis, IN 46260. The listed phone number is (317) 582-8290.

What is Kelly Brinkley's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neurodevelopmental Disabilities, with taxonomy code 2080P0008X.

Is Kelly Brinkley enrolled in Medicare?

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

Which organization bills Medicare for Kelly Brinkley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Brinkley reassigns Medicare benefits to St Vincent Pediatric Subspecialties (Indianapolis, IN). 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 Kelly Brinkley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Brinkley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield and 1 other insurer list Kelly Brinkley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Brinkley was last updated on June 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.