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DR. KELLY NELSON KELLY M.D.
NPI 1780979302
Pediatrics - Neonatal-Perinatal Medicine in Chicago, IL

Active since June 11, 2011PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE # MC6060, CHICAGO, IL 60637(773) 834-3352 Get Directions Write a Review

NPPES record last updated: July 27, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 27, 2017, Jul 18, 2017 (2 updates tracked since 2017).

About Dr. Kelly Nelson Kelly M.d. NPPES

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

DR. KELLY NELSON KELLY M.D. (NPI 1780979302) is an individual neonatal-perinatal medicine provider in Chicago, Illinois, licensed in Illinois (036134243) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2011).

NPPES Registry Identity

NPI1780979302
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. KELLY NELSON KELLYCredential: M.D.
Location Address5841 S MARYLAND AVE # MC6060Chicago, IL 60637-1447
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Phone(773) 834-3352
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2011
Enumeration DateJune 11, 2011
Last NPPES UpdateJuly 27, 20172 updates tracked since enumeration
✔ NPI 1780979302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036134243
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
5841 S MARYLAND AVE # MC6060, Chicago, IL 60637
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Kelly Nelson Kelly 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.

PECOS PAC ID7618275066
PECOS Enrollment IDI20170921001806
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 Kelly Kelly reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530
University Of Chicago
Same address
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 2,237 clinicians in this Medicare group
NPI 1821048786 (773) 702-9200
Osf Healthcare System
6.5 mi
General Acute Care Hospital
2800 W 95TH ST
Evergreen Park, IL 60805
  • Reassigned Medicare billing, Illinois enrollment
  • 183 clinicians in this Medicare group
NPI 1215572045 (708) 422-6200
Osf Multi-Specialty Group
128 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050

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 10

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

ELIZABETH EMILY YARO MD
Pediatrics (Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (773) 702-6210
DR. MINGSHAN LAI MD
Pediatrics (Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (773) 702-6210
DEBORAH MOJOLAJESU ADEGBOSIN M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (773) 702-6210
JUPIN CHACKO
Pediatrics
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (773) 702-6210
SAAJIDHA RIZVYDEEN DO
Pediatrics (Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (773) 702-6210
NATASHA AHN MD
Pediatrics (Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (773) 702-6210
DR. ANNIE ZHILI WANG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (773) 702-6210
CATHERINE GRODEN MD
Pediatrics (Neonatal-Perinatal Medicine)
5841 S MARYLAND AVE # MC6060
CHICAGO, IL 60637
Cook County (847) 420-6605

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 Kelly Kelly's NPI number?

The NPI number for Kelly Kelly is 1780979302. It was assigned to this individual provider in the NPPES registry on June 11, 2011.

Where is Kelly Kelly located?

Kelly Kelly practices at 5841 S Maryland Ave # Mc6060, Chicago, IL 60637. The listed phone number is (773) 834-3352.

What is Kelly Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Kelly Kelly enrolled in Medicare?

Yes. Kelly 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 Kelly Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Kelly reassigns Medicare benefits to 4 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL), Osf Healthcare System (Evergreen Park, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Kelly Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Kelly accept?

Health plans from Oscar Health list Kelly 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.

When was this NPI record last updated?

The NPPES record for Kelly Kelly was last updated on July 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.