ELIJAH KELLEY DO
NPI 1790365286
Family Medicine in Huber Heights, OH

Q: What is Elijah Kelley's NPI number?

The NPI number for Elijah Kelley is 1790365286. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Elijah Kelley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Elijah Kelley was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment

8701 OLD TROY PIKE STE 240, HUBER HEIGHTS, OH 45424(937) 396-2880(937) 396-2205 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2025, Jul 17, 2024, Jun 26, 2024 and 1 more (4 updates tracked since 2021).

On this page

About Elijah Kelley Do NPPES

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

ELIJAH KELLEY DO (NPI 1790365286) is an individual family medicine provider in Huber Heights, Ohio, licensed in Ohio (34.016091) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and is a graduate of Ohio University, College Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1790365286

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameELIJAH KELLEYCredential: DO

Location Address8701 OLD TROY PIKE STE 240Huber Heights, OH 45424-1053

Mailing Address8701 Old Troy Pike Ste 240Huber Heights, OH 45424-1053 · (937) 396-2880 · Fax (937) 396-2205

Phone(937) 396-2880

Fax(937) 396-2205

Sole ProprietorNo

Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2021

Enumeration DateApril 9, 2021

Last NPPES UpdateJuly 1, 20254 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1790365286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OH · 34.016091

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

8701 OLD TROY PIKE STE 240, Huber Heights, OH 45424

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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

Elijah Kelley 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 ID840699112

PECOS Enrollment IDI20230607002715

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

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

Alliance Physicians Inc

Same address

Urgent Care

8701 OLD TROY PIKE
Huber Heights, OH 45424

Reassigned Medicare billing, Ohio enrollment
364 clinicians in this Medicare group

NPI 1689077364 (937) 558-3300

Mercer County Joint Township Community Hospital

49 mi

General Acute Care Hospital

800 W. MAIN ST.
Coldwater, OH 45828

Reassigned Medicare billing, Ohio enrollment
115 clinicians in this Medicare group

NPI 1497784144 (419) 678-2341

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

60 services50 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

13 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Kettering Health Main Campus

Acute Care Hospitals · Kettering, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360079

Location3535 Southern BoulevardKettering, OH 45429 · Montgomery County

Emergency services Birthing friendly

Kettering Health Dayton

Acute Care Hospitals · Dayton, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360133

Location405 Grand AvenueDayton, OH 45405 · Montgomery County

Birthing friendly

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360360

Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County

Emergency services Birthing friendly

Kettering Health Troy

Acute Care Hospitals · Troy, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360368

Location600 West Main StreetTroy, OH 45373 · Miami County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45424 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 4

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

CASEY ANN KOTH

Family Medicine

8701 OLD TROY PIKE STE 240
DAYTON, OH 45424

Montgomery County (937) 396-2880

BRANDAN C WHEELER PA

Physician Assistant

8701 OLD TROY PIKE STE 240
HUBER HEIGHTS, OH 45424

Montgomery County (937) 396-2880

KATERINA FELLERS PA-C

Physician Assistant

8701 OLD TROY PIKE STE 240
HUBER HEIGHTS, OH 45424

Montgomery County (937) 396-2880

MADYSEN TAYLOR ACRA PA-C

Physician Assistant

8701 OLD TROY PIKE STE 240
HUBER HEIGHTS, OH 45424

Montgomery County (937) 396-2880

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 Elijah Kelley's NPI number?

The NPI number for Elijah Kelley is 1790365286. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Elijah Kelley located?

Elijah Kelley practices at 8701 Old Troy Pike Ste 240, Huber Heights, OH 45424. The listed phone number is (937) 396-2880.

What is Elijah Kelley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elijah Kelley enrolled in Medicare?

Yes. Elijah Kelley 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 Elijah Kelley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elijah Kelley reassigns Medicare benefits to 2 organizations: Alliance Physicians Inc (Huber Heights, OH) and Mercer County Joint Township Community Hospital (Coldwater, OH). 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 Elijah Kelley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elijah Kelley accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Elijah Kelley 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 Elijah Kelley affiliated with any hospitals?

According to CMS data, Elijah Kelley is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Soin Medical Center and Kettering Health Troy.

When was this NPI record last updated?

The NPPES record for Elijah Kelley was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.