KEVIN J KELLY MD
NPI 1982606315
Internal Medicine - Cardiovascular Disease in Fort Wayne, IN

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

Active since August 15, 2005PECOS Enrolled

11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(260) 266-5700(260) 266-5920 Get Directions Write a Review

NPPES record last updated: November 29, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kevin J Kelly Md NPPES

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

KEVIN J KELLY MD (NPI 1982606315) is an individual cardiovascular disease provider in Fort Wayne, Indiana, licensed in Indiana (01032406A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982606315

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameKEVIN J KELLYCredential: MD

Location Address11108 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1730

Mailing Address3926 New Vision Dr, Suite 1Fort Wayne, IN 46845-1712 · (260) 373-9705 · Fax (260) 373-9705

Phone(260) 266-5700

Fax(260) 266-5920

Sole ProprietorNo

Enumeration DateAugust 15, 2005

Last NPPES UpdateNovember 29, 2016

✔ NPI 1982606315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IN · 01032406A

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

11108 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

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Other Identifiers 16

Other000000641087IN · Anthem

Medicare PINKE0643399OH

Medicaid0522401OH

Medicare PINKE0643398OH

Medicaid100360760IN

Medicare PIN060071114IN

Medicare PIN193590JIN

Medicare PIN4284861OH

Medicare PIN060070567IN

Medicare PIN264380GIN

OtherP00846125OH · Medicare Railroad

OtherP00786817IN · R.r. Medicare

Other060070567IN · Rr Medicare

Other060071114OH · Rr Medicare

Other06199OH · Medicaid Ohio Paramont

Medicare UPIND95309IN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin J 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

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.

PATRICK J DALEY MD

Internal Medicine (Cardiovascular Disease)