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PETER DOUGLAS KELLY MD
NPI 1770649071
Radiology - Vascular & Interventional Radiology in South San Francisco, CA

Active since December 29, 2006PECOS EnrolledAccepts Medicare Assignment
1200 EL CAMINO REAL FL 1, SOUTH SAN FRANCISCO, CA 94080(650) 742-3264 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2025, Dec 22, 2021 (2 updates tracked since 2021).

About Peter Douglas Kelly Md NPPES

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

PETER DOUGLAS KELLY MD (NPI 1770649071) is an individual vascular & interventional radiology provider in South San Francisco, California, licensed in California (A84618) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (2001).

NPPES Registry Identity

NPI1770649071
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NamePETER DOUGLAS KELLYCredential: MD
Location Address1200 EL CAMINO REAL FL 1South San Francisco, CA 94080-3208
Mailing Address1200 El Camino Real Fl 1South San Francisco, CA 94080-3208 · (650) 742-3264
Phone(650) 742-3264
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2001
Enumeration DateDecember 29, 2006
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1770649071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in CA · A84618✔ Licensed in PA · MD429717
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License A84618 (CA)
1200 EL CAMINO REAL FL 1, South San Francisco, CA 94080
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Peter Douglas Kelly Md 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 ID1153412887
PECOS Enrollment IDI20100520000744
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.

Areas of Expertise CMS Part B claims

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94080 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Peter Kelly's NPI number?

The NPI number for Peter Kelly is 1770649071. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Where is Peter Kelly located?

Peter Kelly practices at 1200 El Camino Real Fl 1, South San Francisco, CA 94080. The listed phone number is (650) 742-3264.

What is Peter Kelly's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Peter Kelly enrolled in Medicare?

Yes. Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Kelly was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.