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

Q: 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.

Q: What is Kelly Kelly's specialty?

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

Q: 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.

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: August 02, 2026.

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

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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

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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

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.

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)