1. Home
  2. Directory
  3. South Carolina
  4. Myrtle Beach
  5. Surgery
  6. NPI Profile

MOHAMED MOHAMED KELLI D.O
NPI 1881089852
Surgery in Myrtle Beach, SC

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC 29572(843) 497-6348(843) 497-6351 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 7, 2022, Dec 15, 2021 (2 updates tracked since 2021).

About Mohamed Mohamed Kelli D.o NPPES

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

MOHAMED MOHAMED KELLI D.O (NPI 1881089852) is an individual surgery provider in Myrtle Beach, South Carolina, licensed in South Carolina (87684) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Conway Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1881089852
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMOHAMED MOHAMED KELLICredential: D.O
Location Address920 DOUG WHITE DR STE 210Myrtle Beach, SC 29572-4181
Mailing Address920 Doug White Dr Ste 210Myrtle Beach, SC 29572-4181 · (843) 497-6348 · Fax (843) 497-6351
Phone(843) 497-6348
Fax(843) 497-6351
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1881089852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · 87684
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X · License 87684 (SC), 5101026254 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
920 DOUG WHITE DR STE 210, Myrtle Beach, SC 29572
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Mohamed Mohamed Kelli 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.

PECOS PAC ID1557763497
PECOS Enrollment IDI20220926003747
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
376 services154 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
272 services119 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
121 services121 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
114 services114 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
90 services33 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
86 services85 patients

Hospital Affiliations CMS Care Compare 4

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

Conway Medical Center

Acute Care Hospitals · Conway, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420049
Location300 Singleton Ridge RoadConway, SC 29526 · Horry County
Emergency services Birthing friendly

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420085
Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County
Emergency services Birthing friendly

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420098
Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

ALEXANDER PETKOVSEK
Nurse Practitioner (Family)
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
LA'ASHA BURGESS PA
Physician Assistant
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
SARA MARIE MAJOR
Physician Assistant
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
MIA KATHERINE KLEIN
Surgery
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
DANIEL BROWN PA-C
Physician Assistant
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
DR. RALPH WESLEY VOSBURG M.D.
Surgery
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
CASEY CHARLES JONES NP
Nurse Practitioner (Family)
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348
DR. ELEAH D. PORTER M.D.
Surgery
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC 29572
Horry County (843) 497-6348

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 Mohamed Mohamed Kelli's NPI number?

The NPI number for Mohamed Mohamed Kelli is 1881089852. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Mohamed Mohamed Kelli located?

Mohamed Mohamed Kelli practices at 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572. The listed phone number is (843) 497-6348.

What is Mohamed Mohamed Kelli's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mohamed Mohamed Kelli enrolled in Medicare?

Yes. Mohamed Mohamed Kelli 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 Mohamed Mohamed Kelli accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Mohamed Mohamed Kelli 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 Mohamed Mohamed Kelli affiliated with any hospitals?

According to CMS data, Mohamed Mohamed Kelli is affiliated with Conway Medical Center, Grand Strand Regional Medical Center, Tidelands Waccamaw Community Hospital and Mcleod Loris Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Mohamed Kelli was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.