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BLAKE ANTHONY KELLEY MD
NPI 1982390274
Student in an Organized Health Care Education/Training Program in Louisville, KY

Active since April 11, 2023PECOS Enrolled
550 SOUTH JACKSON STREET, ACB 3RD FLOOR, LOUISVILLE, KY 40202(502) 852-5666 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blake Anthony Kelley Md NPPES

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

BLAKE ANTHONY KELLEY MD (NPI 1982390274) is an individual student in an organized health care education/training program in Louisville, Kentucky and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982390274
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE ANTHONY KELLEYCredential: MD
Location Address550 SOUTH JACKSON STREET, ACB 3RD FLOORLouisville, KY 40202
Mailing Address550 South Jackson Street, Acb 3rd FloorLouisville, KY 40202 · (502) 852-5666
Phone(502) 852-5666
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateApril 18, 2023
NPPES CertifiedApril 18, 2023
✔ NPI 1982390274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

550 SOUTH JACKSON STREET, Louisville, KY 40202
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Blake Anthony Kelley 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.

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.

URI NETZ MD
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, ACB2, SURG STE
LOUISVILLE, KY 40202
Jefferson County (502) 852-4568
AGASTYA DEEPAK BELUR MD
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, AMBULATORY CARE BUILDING, 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
KATHERINE BYRKET
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, ACB, 2ND FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 561-7448
CRISTINA ELLEN CHIODI
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, ACB 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
MR. APURV AGARWAL M.D
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, ACB, THIRD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
ANJALI DUBBAKA MD
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, ACB, 3RD FLOOR, UNIVERSITY OF LOUISVILLE
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
DR. PAWAN DAGA
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, INTERNAL MED RESIDENCY PROGRAM, ACB 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666
DR. HUMZAH QAZI MD
Student in an Organized Health Care Education/Training Program
550 SOUTH JACKSON STREET, ACB 3RD FLOOR
LOUISVILLE, KY 40202
Jefferson County (502) 852-5666

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 Blake Kelley's NPI number?

The NPI number for Blake Kelley is 1982390274. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Blake Kelley located?

Blake Kelley practices at 550 South Jackson Street Acb 3rd Floor, Louisville, KY 40202. The listed phone number is (502) 852-5666.

What is Blake Kelley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Blake Kelley enrolled in Medicare?

Yes. Blake Kelley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Blake Kelley was last updated on April 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.