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RUSSELL S KELLY MD
NPI 1790787729
Internal Medicine in Ewa Beach, HI

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
91-2139 FORT WEAVER RD, SUITE 300, EWA BEACH, HI 96706(808) 678-0700(808) 678-0776 Get Directions Write a Review

NPPES record last updated: February 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell S Kelly Md NPPES

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

RUSSELL S KELLY MD (NPI 1790787729) is an individual internal medicine provider in Ewa Beach, Hawaii, licensed in Hawaii (11807) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1790787729
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUSSELL S KELLYCredential: MD
Location Address91-2139 FORT WEAVER RD, SUITE 300Ewa Beach, HI 96706-3607
Mailing Address91-2139 Fort Weaver Rd, Suite 300Ewa Beach, HI 96706-3607 · (808) 678-0700 · Fax (808) 678-0776
Phone(808) 678-0700
Fax(808) 678-0776
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateAugust 10, 2005
Last NPPES UpdateFebruary 6, 2008
✔ NPI 1790787729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · 11807
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
91-2139 FORT WEAVER RD, Ewa Beach, HI 96706
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Other Identifiers 4

Medicaid0000241885HI
Medicaid539207HI
Medicare PINH102367HI
Medicare UPIND01441

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

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

Russell S 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 ID5092760017
PECOS Enrollment IDI20070322000144
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 7

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
349 services38 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
292 services38 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
289 services37 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.
97 services54 patients
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.
94 services68 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
43 services43 patients

Hospital Affiliations CMS Care Compare

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96706 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims28 services$4.94 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers23 claims23 services$23.99 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$71.02 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims330 services$0.33 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier12 claims12 services$12.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. BERNARD ROBINSON M.D.
Neurological Surgery
91-2139 FORT WEAVER RD, SUITE 210
EWA BEACH, HI 96706
Honolulu County (808) 680-0554
RICHARD S OH MD LLC
Clinic/Center (Medical Specialty)
91-2139 FORT WEAVER RD, SUITE 309
EWA BEACH, HI 96706
Honolulu County (808) 677-7793
CENTER FOR ALLERGY AND RESPIRATORY DISEASES INC.
Allergy & Immunology (Allergy)
91-2139 FORT WEAVER RD, SUITE 303
EWA BEACH, HI 96706
Honolulu County (808) 671-1558
MR. GRANT H TAKIGUCHI PT
Physical Therapist
91-2139 FORT WEAVER RD, STE 210
EWA BEACH, HI 96706
Honolulu County (808) 689-9994
DR. MICHAEL ARTHUR MCMANN M.D.
Ophthalmology
91-2139 FORT WEAVER RD, SUITE 202
EWA BEACH, HI 96706
Honolulu County (808) 677-2733
DR. CORALIE A K TEXEIRA MD
General Practice
91-2139 FORT WEAVER RD, SUITE 213
EWA BEACH, HI 96706
Honolulu County (808) 677-8008
WEST OAHU MEDICAL GENETICS, LLC
Clinic/Center (Genetics)
91-2139 FORT WEAVER RD, STE 100
EWA BEACH, HI 96706
Honolulu County (808) 676-4224
DR. REY R ROMERO M.D
Psychiatry & Neurology (Neurology)
91-2139 FORT WEAVER RD, SUITE 300
EWA BEACH, HI 96706
Honolulu County (808) 680-0558

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 Russell Kelly's NPI number?

The NPI number for Russell Kelly is 1790787729. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Russell Kelly located?

Russell Kelly practices at 91-2139 Fort Weaver Rd Suite 300, Ewa Beach, HI 96706. The listed phone number is (808) 678-0700.

What is Russell Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Russell Kelly enrolled in Medicare?

Yes. Russell 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.

What insurance does Russell Kelly accept?

Health plans from HMSA list Russell 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.

Is Russell Kelly affiliated with any hospitals?

According to CMS data, Russell Kelly is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Russell Kelly was last updated on February 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.