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TAMARA KELLY M.D.
NPI 1801203559
Obstetrics & Gynecology in New York, NY

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
630 W 168TH ST, NEW YORK, NY 10032(805) 455-6033 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara Kelly M.d. NPPES

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

TAMARA KELLY M.D. (NPI 1801203559) is an individual obstetrics & gynecology provider in New York, New York, licensed in New York (276136) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1801203559
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTAMARA KELLYCredential: M.D.
Location Address630 W 168TH STNew York, NY 10032-3725
Mailing Address1942 84th St, Apt. 1Brooklyn, NY 11214-3184 · (805) 455-6033
Phone(805) 455-6033
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 15, 2014
Last NPPES UpdateDecember 16, 2021
✔ NPI 1801203559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 276136
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
630 W 168TH ST, New York, NY 10032
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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

Tamara 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 ID2163644592
PECOS Enrollment IDI20161025001422
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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.

DR. LAURA YAEL KUREK M.D.
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
New York County (209) 915-2086
COLUMBIADOCTORS AMBULATORY CARE NETWORK
Internal Medicine
630 W 168TH ST, BB 2-239
NEW YORK, NY 10032
New York County (212) 305-1181
DANIEL KADOSH M.D
Radiology (Diagnostic Radiology)
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-1948
JESSICA S YUE
Physician Assistant
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500
DR. DOMENICO ACCILI M.D.
Hospitalist
630 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
New York County (212) 851-5332
DR. DAEWON HAAM D.D.S.
Dentist (Prosthodontics)
630 W 168TH ST, PH7 - 318 D
NEW YORK, NY 10032
New York County (212) 342-6909
AMANDA COUTAIN RN
Registered Nurse
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500
DEVIN MANTINI MD
Student in an Organized Health Care Education/Training Program
630 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-2500

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 Tamara Kelly's NPI number?

The NPI number for Tamara Kelly is 1801203559. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Tamara Kelly located?

Tamara Kelly practices at 630 W 168th St, New York, NY 10032. The listed phone number is (805) 455-6033.

What is Tamara Kelly's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tamara Kelly enrolled in Medicare?

Yes. Tamara 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.

When was this NPI record last updated?

The NPPES record for Tamara Kelly was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.