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KEVIN J KELLY M.D.
NPI 1902807548
Pediatrics - Pediatric Gastroenterology in Willow Grove, PA

Active since August 04, 2005PECOS EnrolledAccepts Medicare Assignment
2701 BLAIR MILL RD, SUITE 6, WILLOW GROVE, PA 19090(215) 293-8800(215) 293-9053 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin J Kelly M.d. NPPES

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

KEVIN J KELLY M.D. (NPI 1902807548) is an individual pediatric gastroenterology provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MD-057754-L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1980).

NPPES Registry Identity

NPI1902807548
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameKEVIN J KELLYCredential: M.D.
Location Address2701 BLAIR MILL RD, SUITE 6Willow Grove, PA 19090-1041
Mailing Address1804 Thornbury DrMaple Glen, PA 19002-2842 · (215) 628-4530 · Fax (215) 619-7159
Phone(215) 293-8800
Fax(215) 293-9053
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1980
Enumeration DateAugust 4, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902807548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in PA · MD-057754-L
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
2701 BLAIR MILL RD, Willow Grove, PA 19090
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Other Identifiers 1

Medicare UPINF20346PA

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

Kevin J Kelly M.d. 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 ID6204896509
PECOS Enrollment IDI20041012000746
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19090 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
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.

SHERRY L BLUMENTHAL M.D.
Obstetrics & Gynecology (Gynecology)
2701 BLAIR MILL RD, SUITE C
WILLOW GROVE, PA 19090
Montgomery County (215) 443-0660
LOUISE EDNA HOOVER CRNA
Nurse Anesthetist, Certified Registered
2701 BLAIR MILL RD, SUITE 35
WILLOW GROVE, PA 19090
Montgomery County (215) 443-0505
CYNTHIA L SALINAS M.D.
Family Medicine
2701 BLAIR MILL RD, STE 20
WILLOW GROVE, PA 19090
Montgomery County (215) 672-7070
NORTH WILLOW GROVE FAMILY MEDICINE PC
Family Medicine
2701 BLAIR MILL RD, SUITE 20
WILLOW GROVE, PA 19090
Montgomery County (215) 672-7070
ROBERT P WILHELM PA-C
Family Medicine
2701 BLAIR MILL RD, SUITE 20
WILLOW GROVE, PA 19090
Montgomery County (215) 672-7070
DR. DONNA LEE PATTERSON PHD CRNP
Nurse Practitioner (Pediatrics)
2701 BLAIR MILL RD, SUITE 10
WILLOW GROVE, PA 19090
Montgomery County (215) 675-1234
KEYSTONE MOBILE PARTNERS, LP
Clinic/Center (Ambulatory Surgical)
2701 BLAIR MILL RD, STE. 30
WILLOW GROVE, PA 19090
Montgomery County (215) 675-9900
JESSICA M. KLEMENS D.O.
Obstetrics & Gynecology
2701 BLAIR MILL RD, SUITE C
WILLOW GROVE, PA 19090
Montgomery County (215) 443-0660

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 1902807548. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Kevin Kelly located?

Kevin Kelly practices at 2701 Blair Mill Rd Suite 6, Willow Grove, PA 19090. The listed phone number is (215) 293-8800.

What is Kevin Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

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.

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.