KEVIN M. KELLY JR.
NPI 1811924764
Emergency Medicine in La Mesa, CA
About Kevin M. Kelly Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN M. KELLY JR. (NPI 1811924764) is an individual emergency medicine provider in La Mesa, California, licensed in California (A71711) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
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
Kevin M. Kelly Jr. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kevin Kelly reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 62 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 80 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 51 clinicians in this Medicare group
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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kevin Kelly's NPI number?
The NPI number for Kevin Kelly is 1811924764. It was assigned to this individual provider in the NPPES registry on June 27, 2006. The provider is also known as Dr. Kevin Michael Kelly M.D..
Where is Kevin Kelly located?
Kevin Kelly practices at 5555 Grossmont Center Drive, La Mesa, CA 91942. The listed phone number is (619) 644-4401.
What is Kevin Kelly's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kevin Kelly enrolled in Medicare?
Yes. Kevin 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.
Which organizations bill Medicare for Kevin Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kelly reassigns Medicare benefits to 3 organizations: Alvarado Emergency Medical Associates, Inc. (San Diego, CA), Emergency Services Medical Corporation (San Diego, CA) and San Diego Emergency Physicians, Inc. (San Diego, CA). 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 Kevin Kelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Kelly was last updated on August 26, 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.
# Kevin M. Kelly Jr. · NPI 1811924764
Emergency Medicine physician in La Mesa, California. Individual provider, active in the CMS NPPES registry since June 27, 2006.
## Identity
- **NPI:** 1811924764 (Entity type: Individual)
- **Enumerated:** June 27, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** A71711 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 5555 GROSSMONT CENTER DRIVE, La Mesa, CA 91942-3019
- **Phone:** (619) 644-4401
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Alvarado Emergency Medical Associates, Inc. (NPI 1285811992, San Diego, CA); Emergency Services Medical Corporation (NPI 1699725069, San Diego, CA); San Diego Emergency Physicians, Inc. (NPI 1194429233, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, Geffen School Of Medicine, class of 1998
## Record status
- **NPPES last updated:** August 26, 2008
- **Other identifiers:** Medicare UPIN H41872; Medicaid A71711 (CA); Medicare PIN WA71711D (CA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1811924764) · Data from the CMS NPPES public registry.