DR. STEVENS ERIC KELLY MD
NPI 1790366565
Family Medicine in Pawtucket, RI

Q: What is Stevens Kelly's NPI number?

The NPI number for Stevens Kelly is 1790366565. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Q: What is Stevens Kelly'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 Stevens Kelly was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 14, 2021PECOS EnrolledAccepts Medicare Assignment

21 DIVISION ST, PAWTUCKET, RI 02860(401) 727-4800(401) 921-6924 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2024, Jul 18, 2024, Jun 29, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Stevens Eric Kelly Md NPPES

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

DR. STEVENS ERIC KELLY MD (NPI 1790366565) is an individual family medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD20033) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Kent County Memorial Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2021).

NPPES Registry Identity

NPI1790366565

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. STEVENS ERIC KELLYCredential: MD

Location Address21 DIVISION STPawtucket, RI 02860-5352

Mailing Address455 Toll Gate Rd, Prc And CredentialingWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919

Phone(401) 727-4800

Fax(401) 921-6924

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2021

Enumeration DateApril 14, 2021

Last NPPES UpdateOctober 11, 20244 updates tracked since enumeration

NPPES CertifiedOctober 11, 2024

✔ NPI 1790366565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in RI · MD20033

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.

21 DIVISION ST, Pawtucket, RI 02860

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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. Stevens Eric 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 ID9436550852

PECOS Enrollment IDI20240729002375

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.

Hospital Affiliations CMS Care Compare 3

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

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number410009

Location455 Toll Gate RdWarwick, RI 02886 · Kent County

Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410010

Location101 Dudley StreetProvidence, RI 02905 · Providence County

Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02860 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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 20

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

ZEEL PARESHKUMAR DESAI PT

Physical Therapist