DR. SUSAN G KELLEY M.D.
NPI 1770574907
Internal Medicine in Roseau, WEST INDIES

Active since November 05, 2005PECOS Enrolled
ROSS UNIVERSITY SCHOOL OF MEDICINE, PORTSMOUTH CAMPUS, ROSEAU, WEST INDIES 00152(330) 423-0265 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Susan G Kelley M.d. NPPES

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

DR. SUSAN G KELLEY M.D. (NPI 1770574907) is an individual internal medicine provider in Roseau, WEST INDIES, licensed in Ohio (35080211) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770574907
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN G KELLEYCredential: M.D.
Location AddressROSS UNIVERSITY SCHOOL OF MEDICINE, PORTSMOUTH CAMPUSRoseau, WEST INDIES 00152
Mailing Address630 Us Highway 1, Ste 500, Ross University School Of MedicineNorth Brunswick, NJ 08902-3311 · (330) 423-0265
Sole ProprietorYes
Enumeration DateNovember 5, 2005
Last NPPES UpdateJanuary 21, 2009
✔ NPI 1770574907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35080211
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.
ROSS UNIVERSITY SCHOOL OF MEDICINE, Roseau, WEST INDIES 00152

Other Identifiers 2

Medicaid2305151OH
Medicare UPINH56458

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan G Kelley 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 Susan Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 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.

Other Providers at the Same Location NPPES

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

Internal Medicine
ROSS UNIVERSITY SCHOOL OF MEDICINE, PORTSMOUTH CAMPUS
ROSEAU, WEST INDIES 00152

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 Susan Kelley's NPI number?

The NPI number for Susan Kelley is 1770574907. It was assigned to this individual provider in the NPPES registry on November 5, 2005.

Where is Susan Kelley located?

Susan Kelley practices at Ross University School Of Medicine Portsmouth Campus, Roseau, WEST INDIES 00152. The listed phone number is (330) 423-0265.

What is Susan Kelley's specialty?

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

Is Susan Kelley enrolled in Medicare?

Yes. Susan Kelley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Kelley reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Susan Kelley'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 Susan Kelley was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.