ZACHARY ALEC KELLY
NPI 1942706239
Otolaryngology - Pediatric Otolaryngology in Charleston, SC

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment
171 ASHLEY AVE, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Zachary Alec Kelly NPPES

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

ZACHARY ALEC KELLY (NPI 1942706239) is an individual pediatric otolaryngology provider in Charleston, South Carolina, licensed in South Carolina (92046) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Bronx, and is a graduate of Emory University School Of Medicine (2018).

NPPES Registry Identity

NPI1942706239
Entity TypeIndividualMale
Primary Taxonomy207YP0228X
Provider Legal NameZACHARY ALEC KELLY
Location Address171 ASHLEY AVECharleston, SC 29425-2401
Mailing AddressPo Box 751461Charlotte, NC 28275-1461 · (843) 792-1414
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2018
Enumeration DateApril 4, 2018
Last NPPES UpdateAugust 9, 2024
NPPES CertifiedAugust 9, 2024
NPI 1942706239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Pediatric OtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207YP0228X
License Licensed in SC · 92046
Definition
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.
171 ASHLEY AVE, Charleston, SC 29425

Secondary Practice Location 1

Location 1111 E 210th StBronx, NY 10467-2401 · Phone (718) 920-4646

Accepted 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

Zachary Alec Kelly 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 ID8729329644
PECOS Enrollment IDI20241002001263
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.

Allergy & Immunology
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Anesthetist, Certified Registered
171 ASHLEY AVE
CHARLESTON, SC 29425
Pathology (Anatomic Pathology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425
Social Worker
171 ASHLEY AVE
CHARLESTON, SC 29425
Radiology (Pediatric Radiology)
171 ASHLEY AVE
CHARLESTON, SC 29425
Nurse Practitioner
171 ASHLEY AVE
CHARLESTON, SC 29425
Ophthalmology
171 ASHLEY AVE
CHARLESTON, SC 29425

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 Zachary Kelly's NPI number?

The NPI number for Zachary Kelly is 1942706239. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Zachary Kelly located?

Zachary Kelly practices at 171 Ashley Ave, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Zachary Kelly's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Pediatric Otolaryngology, with taxonomy code 207YP0228X.

Is Zachary Kelly enrolled in Medicare?

Yes. Zachary 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.

What insurance does Zachary Kelly accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next, Molina Healthcare and UnitedHealthcare list Zachary Kelly 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 Zachary Kelly was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.