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DR. STEPHEN P KELLY MD
NPI 1750333712
Anesthesiology in Portland, OR

Active since May 17, 2006PECOS Enrolled
707 SW WASHINGTON ST, STE 700, PORTLAND, OR 97205(503) 299-9906(503) 225-9002 Get Directions Write a Review

NPPES record last updated: September 10, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Stephen P Kelly Md NPPES

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

DR. STEPHEN P KELLY MD (NPI 1750333712) is an individual anesthesiology provider in Portland, Oregon, licensed in Oregon (MD11805) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750333712
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. STEPHEN P KELLYCredential: MD
Location Address707 SW WASHINGTON ST, STE 700Portland, OR 97205-3536
Mailing AddressPo Box 2040Portland, OR 97208-2040 · (503) 299-9906 · Fax (503) 225-9002
Phone(503) 299-9906
Fax(503) 225-9002
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 10, 2013
✔ NPI 1750333712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in OR · MD11805
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
707 SW WASHINGTON ST, Portland, OR 97205
Open in Google Maps ↗

Other Identifiers 6

MedicaidMD805ORAK
Medicare ID-Type Unspecified00WCJPPA2OR
Medicaid1770502WA
Other050031355OR · Rr Medicare
Medicare UPINC93028
Medicaid226910OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Stephen P 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Stephen Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oregon Anesthesiology Group PC
Same address
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
Portland, OR 97205
  • Reassigned Medicare billing, Oregon enrollment
  • 271 clinicians in this Medicare group
NPI 1477527786 (503) 299-9906
Salem Health
27 mi
Family Medicine
105 ARNEY RD STE 120
Woodburn, OR 97071
  • Reassigned Medicare billing, Oregon enrollment
  • 625 clinicians in this Medicare group
NPI 1578112066 (503) 184-4400
Northwest Anesthesia Physicians PC
101 mi
Anesthesiology
3333 RIVERBEND DR
Springfield, OR 97477
  • Reassigned Medicare billing, Oregon enrollment
  • 123 clinicians in this Medicare group
NPI 1770531196 (541) 222-3154
Denali Anesthesia, LLC
1,641 mi
Anesthesiology
2310 PEGER RD
Fairbanks, AK 99709
  • Reassigned Medicare billing, Alaska enrollment
  • 69 clinicians in this Medicare group
NPI 1508854712 (907) 458-7263

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 20

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

DR. JEFFREY PHILIP MAKO M.D.
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. PATRICIA N PANCOAST MD
Anesthesiology
707 SW WASHINGTON ST, STE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. XIANGHUA PAN MD
Anesthesiology
707 SW WASHINGTON ST, STE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. BRENT D. ANDERSEN MD
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. MATTHEW BUCKON MD
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. NIKKI B JAWORSKI M.D.
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. JONATHAN T. GUDMAN MD
Anesthesiology
707 SW WASHINGTON ST, SUITE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906
DR. MATTHEW S.A. BOLES MD
Anesthesiology
707 SW WASHINGTON ST, STE 700
PORTLAND, OR 97205
Multnomah County (503) 299-9906

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 Stephen Kelly's NPI number?

The NPI number for Stephen Kelly is 1750333712. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Stephen Kelly located?

Stephen Kelly practices at 707 SW Washington St Ste 700, Portland, OR 97205. The listed phone number is (503) 299-9906.

What is Stephen Kelly's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Stephen Kelly enrolled in Medicare?

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

Which organizations bill Medicare for Stephen Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Kelly reassigns Medicare benefits to 4 organizations: Oregon Anesthesiology Group PC (Portland, OR), Salem Health (Woodburn, OR), Northwest Anesthesia Physicians PC (Springfield, OR) and Denali Anesthesia, LLC (Fairbanks, AK). Each 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 Stephen 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 Stephen Kelly was last updated on September 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.