JOHN MICHAEL KELLEY M.D.
NPI 1750338745
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Utica, NY
About John Michael Kelley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN MICHAEL KELLEY M.D. (NPI 1750338745) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Utica, New York, licensed in New York (190295-1) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Aurelia Osborn Fox Memorial Hospital, and is a graduate of University Of Vermont College Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John Michael Kelley 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.
Medicare Billing Reassignment
Medicare enrollment records show John Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cooperstown, NY 13326
- Reassigned Medicare billing, New York enrollment
- 1,052 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 9
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Aurelia Osborn Fox Memorial Hospital
Acute Care Hospitals · Oneonta, NYBassett Healthcare
Acute Care Hospitals · Cooperstown, NYLittle Falls Hospital
Critical Access Hospitals · Little Falls, NYCobleskill Regional Hospital
Critical Access Hospitals · Cobleskill, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
UTICA, NY 13501
UTICA, NY 13501
UTICA, NY 13501
UTICA, NY 13501
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 Kelley's NPI number?
The NPI number for John Kelley is 1750338745. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is John Kelley located?
John Kelley practices at 2211 Genesee St, Utica, NY 13501. The listed phone number is (315) 733-7798.
What is John Kelley's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is John Kelley enrolled in Medicare?
Yes. John Kelley 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.
Which organization bills Medicare for John Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Kelley reassigns Medicare benefits to Mary Imogene Bassett Hospital (Cooperstown, NY). 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 Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Kelley affiliated with any hospitals?
According to CMS data, John Kelley is affiliated with Aurelia Osborn Fox Memorial Hospital, Bassett Healthcare, Little Falls Hospital and Cobleskill Regional Hospital.
When was this NPI record last updated?
The NPPES record for John Kelley was last updated on April 2, 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.
# John Michael Kelley, M.D. · NPI 1750338745
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Utica, New York. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1750338745 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 190295-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2211 GENESEE ST, Utica, NY 13501-5930
- **Phone:** (315) 733-7798 · **Fax:** (315) 733-7893
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mary Imogene Bassett Hospital (NPI 1083664221, Cooperstown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 1987
## Record status
- **NPPES last updated:** April 2, 2013
- **Other identifiers:** Medicare UPIN F86079 (NY); Medicaid 01489990 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1750338745) · Data from the CMS NPPES public registry.