DR. NIRVAIR SINGH KELLEY D.O.
NPI 1841685922
Student in an Organized Health Care Education/Training Program in San Jose, CA
About Dr. Nirvair Singh Kelley D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIRVAIR SINGH KELLEY D.O. (NPI 1841685922) is an individual student in an organized health care education/training program in San Jose, California and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2015).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Nirvair Singh Kelley D.o. 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 Reassignment
Medicare enrollment records show Nirvair Kelley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Clara, CA 95051
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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 Nirvair Kelley's NPI number?
The NPI number for Nirvair Kelley is 1841685922. It was assigned to this individual provider in the NPPES registry on April 5, 2015.
Where is Nirvair Kelley located?
Nirvair Kelley practices at 751 S Bascom Ave # 95128, San Jose, CA 95128. The listed phone number is (408) 885-5000.
What is Nirvair Kelley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nirvair Kelley enrolled in Medicare?
Yes. Nirvair 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 organization bills Medicare for Nirvair Kelley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nirvair Kelley reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The 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 Nirvair Kelley'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 Nirvair Kelley was last updated on December 17, 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.
# Dr. Nirvair Singh Kelley, D.O. · NPI 1841685922
Student in an Organized Health Care Education/Training Program provider in San Jose, California. Individual provider, active in the CMS NPPES registry since April 5, 2015.
## Identity
- **NPI:** 1841685922 (Entity type: Individual)
- **Enumerated:** April 5, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 751 S BASCOM AVE # 95128, San Jose, CA 95128-2604
- **Phone:** (408) 885-5000
## 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:** Permanente Medical Group Inc (NPI 1073606299, Santa Clara, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Arizona College Of Osteopathic Medicine Mid Western University, class of 2015
## Record status
- **NPPES last updated:** December 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1841685922) · Data from the CMS NPPES public registry.