MR. KELLY CHRISTOPHER GOLOB DC
NPI 1902100639
Chiropractor in Tumwater, WA
About Mr. Kelly Christopher Golob Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KELLY CHRISTOPHER GOLOB DC (NPI 1902100639) is an individual chiropractor in Tumwater, Washington, licensed in Washington (CH60198422) and active in the NPI registry since January 2011. He is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Kelly Christopher Golob Dc 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 Kelly Golob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tumwater, WA 98501
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Tumwater Chiropractic Center P S
- 10 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
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.
Other Providers at the Same Location NPPES 2
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 Kelly Golob's NPI number?
The NPI number for Kelly Golob is 1902100639. It was assigned to this individual provider in the NPPES registry on January 10, 2011.
Where is Kelly Golob located?
Kelly Golob practices at 128 D St SW Ste A, Tumwater, WA 98501. The listed phone number is (360) 570-9580.
What is Kelly Golob's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Kelly Golob enrolled in Medicare?
Yes. Kelly Golob 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 Kelly Golob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Golob reassigns Medicare benefits to Tumwater Chiropractic Center Ps (Tumwater, WA). 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 Kelly Golob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Golob accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kelly Golob 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.
When was this NPI record last updated?
The NPPES record for Kelly Golob was last updated on January 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Kelly Christopher Golob, DC · NPI 1902100639
Chiropractor provider in Tumwater, Washington. Individual provider, active in the CMS NPPES registry since January 10, 2011.
## Identity
- **NPI:** 1902100639 (Entity type: Individual)
- **Enumerated:** January 10, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH60198422 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 128 D ST SW STE A, Tumwater, WA 98501-4064
- **Phone:** (360) 570-9580 · **Fax:** (360) 570-9583
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Tumwater Chiropractic Center Ps (NPI 1659578516, Tumwater, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 10, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1902100639) · Data from the CMS NPPES public registry.