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DR. BRYAN ANTHONY KELLY DO
NPI 1750678660
Internal Medicine - Pulmonary Disease in Mount Clemens, MI

Active since June 30, 2011PECOS EnrolledAccepts Medicare Assignment
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

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

About Dr. Bryan Anthony Kelly Do NPPES

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

DR. BRYAN ANTHONY KELLY DO (NPI 1750678660) is an individual pulmonary disease provider in Mount Clemens, Michigan, licensed in Michigan (5101019300) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2011).

NPPES Registry Identity

NPI1750678660
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. BRYAN ANTHONY KELLYCredential: DO
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address1000 Harrington StMount Clemens, MI 48043-2920 · (586) 493-8000
Phone(586) 493-8000
Sole ProprietorYes
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2011
Enumeration DateJune 30, 2011
Last NPPES UpdateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
✔ NPI 1750678660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MI · 5101019300
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 5101019300 (MI)
1000 HARRINGTON ST, Mount Clemens, MI 48043
Open in Google Maps ↗

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 and accepts Medicare assignment

Dr. Bryan Anthony Kelly Do 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.

PECOS PAC ID7416173968
PECOS Enrollment IDI20160527000769
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

2

Medicare enrollment records show Bryan Kelly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System
18 mi
Plastic Surgery
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 1,886 clinicians in this Medicare group
NPI 1528142858 (313) 916-2600
Henry Ford Wyandotte Hospital
29 mi
Surgery
2070 BIDDLE AVE, SUITE 200
Wyandotte, MI 48192
  • Reassigned Medicare billing, Michigan enrollment
  • 157 clinicians in this Medicare group
NPI 1699102244 (734) 225-9100

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 6

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
80 services40 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services36 patients
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.
47 services28 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
32 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
15 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Henry Ford Health West Bloomfield Hospital

Acute Care Hospitals · West Bloomfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230302
Location6777 West Maple RoadWest Bloomfield, MI 48322 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
4 suppliers24 claims69 services$15.17 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
4 suppliers29 claims468 services$30.26 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers24 claims24 services$14.49 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$4.13 avg. paid by Medicare
Ultrasonic/electronic aerosol generator with small volume nebulizer E0574
DME-Other DME · category DE000N
2 suppliers21 claims21 services$30.71 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers51 claims51 services$76.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LEMAR GARDEZI MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
WILLIAM B HALACOGLU DO PC
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8101
JAVIER ZARATE
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KRISTIN HOFSTAD PA
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ANDREA PERRIN DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
JESSICA JOYCE LUTKENHOFF MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ABIRA MUMTAZ
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
MS. LINDSEY APRIL MCCLAIN CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

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 Bryan Kelly's NPI number?

The NPI number for Bryan Kelly is 1750678660. It was assigned to this individual provider in the NPPES registry on June 30, 2011.

Where is Bryan Kelly located?

Bryan Kelly practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.

What is Bryan Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Bryan Kelly enrolled in Medicare?

Yes. Bryan Kelly 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 organizations bill Medicare for Bryan Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Kelly reassigns Medicare benefits to 2 organizations: Henry Ford Health System (Detroit, MI) and Henry Ford Wyandotte Hospital (Wyandotte, MI). 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 Bryan Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bryan Kelly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Bryan Kelly 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.

Is Bryan Kelly affiliated with any hospitals?

According to CMS data, Bryan Kelly is affiliated with Henry Ford Health Hospital and Henry Ford Health West Bloomfield Hospital.

When was this NPI record last updated?

The NPPES record for Bryan Kelly was last updated on February 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.