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DR. ENDA KELLY MD
NPI 1851900856
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 26, 2020PECOS Enrolled
403 W ADAMS BLVD, LOS ANGELES, CA 90007(213) 742-1122 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2020, Jul 26, 2020 (2 updates tracked since 2020).

About Dr. Enda Kelly Md NPPES

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

DR. ENDA KELLY MD (NPI 1851900856) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851900856
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ENDA KELLYCredential: MD
Location Address403 W ADAMS BLVDLos Angeles, CA 90007-2664
Mailing Address403 W Adams BlvdLos Angeles, CA 90007-2664 · (213) 742-1000
Phone(213) 742-1122
Sole ProprietorNo
Enumeration DateJuly 26, 2020
Last NPPES UpdateJuly 27, 20202 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
✔ NPI 1851900856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
403 W ADAMS BLVD, Los Angeles, CA 90007
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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 (PECOS)

Dr. Enda Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JENNIFER VICTORIA VERA OTD, OTR/L
Occupational Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
MIRNA ARACELY GUZMAN PTA
Physical Therapy Assistant
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1450
CRANIOFACIAL/CLEFT PALATE PROGRAM
Specialist
403 W ADAMS BLVD, 4TH FLOOR
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1433
MS. RACHELLE ANN MARIE SUE NP
Nurse Practitioner (Family)
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
CINDY BAILEY DPT, OCS, SCS, ATC
Physical Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1460
ROBERT SEAN WARNOCK ARNP
Nurse Practitioner (Family)
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 741-8330
KEVIN BOWER FNP, BSN, RN, ATC
Registered Nurse
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1000
DR. JAY ISAAC STEVEN SEMEL DPT
Physical Therapist
403 W ADAMS BLVD
LOS ANGELES, CA 90007
Los Angeles County (213) 742-1450

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 Enda Kelly's NPI number?

The NPI number for Enda Kelly is 1851900856. It was assigned to this individual provider in the NPPES registry on July 26, 2020.

Where is Enda Kelly located?

Enda Kelly practices at 403 W Adams Blvd, Los Angeles, CA 90007. The listed phone number is (213) 742-1122.

What is Enda Kelly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Enda Kelly enrolled in Medicare?

Yes. Enda Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Enda Kelly was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.