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ELEANOR MARIE KELLY MD
NPI 1912080094
Internal Medicine in Fullerton, CA

Active since October 23, 2006PECOS Enrolled
241 IMPERIAL HWY, SUITE 350, FULLERTON, CA 92835(714) 578-8669(714) 578-8629 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Eleanor Marie Kelly Md NPPES

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

ELEANOR MARIE KELLY MD (NPI 1912080094) is an individual internal medicine provider in Fullerton, California, licensed in California (A064544) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912080094
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameELEANOR MARIE KELLYCredential: MD
Location Address241 IMPERIAL HWY, SUITE 350Fullerton, CA 92835-1055
Mailing Address279 Imperial Hwy, Suite 730Fullerton, CA 92835-1041 · (714) 449-4800 · Fax (714) 449-4956
Phone(714) 578-8669
Fax(714) 578-8629
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateNovember 21, 2011
✔ NPI 1912080094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A064544
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
241 IMPERIAL HWY, Fullerton, CA 92835
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH28231CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eleanor Marie 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.

Medicare Billing Reassignment

Medicare enrollment records show Eleanor Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Uc Regents
9.4 mi
Allergy & Immunology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 525 clinicians in this Medicare group
NPI 1003864174 (714) 456-8068

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Eleanor Kelly's NPI number?

The NPI number for Eleanor Kelly is 1912080094. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Eleanor Kelly located?

Eleanor Kelly practices at 241 Imperial Hwy Suite 350, Fullerton, CA 92835. The listed phone number is (714) 578-8669.

What is Eleanor Kelly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Eleanor Kelly enrolled in Medicare?

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

Which organization bills Medicare for Eleanor Kelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eleanor Kelly reassigns Medicare benefits to Uc Regents (Orange, 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 Eleanor Kelly'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 Eleanor Kelly was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.