KELLY KAY OTT P.A.
NPI 1992072441
Physician Assistant in Chicago, IL

Q: What is Kelly Ott's NPI number?

The NPI number for Kelly Ott is 1992072441. It was assigned to this individual provider in the NPPES registry on November 29, 2011.

Q: What is Kelly Ott's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Ott was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 29, 2011PECOS EnrolledAccepts Medicare Assignment

3860 W OGDEN AVE, CHICAGO, IL 60623(872) 588-3000(872) 588-3021 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kelly Kay Ott P.a. NPPES

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

KELLY KAY OTT P.A. (NPI 1992072441) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085004230) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1992072441

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKELLY KAY OTTCredential: P.A.

Location Address3860 W OGDEN AVEChicago, IL 60623-2460

Mailing Address3860 W Ogden AveChicago, IL 60623-2460 · (872) 588-3000 · Fax (872) 588-3021

Phone(872) 588-3000

Fax(872) 588-3021

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 29, 2011

Last NPPES UpdateMarch 7, 2023

NPPES CertifiedMarch 31, 2022

✔ NPI 1992072441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in IL · 085004230✔ Licensed in IL · 085-004230

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3860 W OGDEN AVE, Chicago, IL 60623

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Other Identifiers 3

Other385003022IL · Cs License

Other1101248IL · Specialty Boards

Other085004230IL · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Kelly Kay Ott P.a. 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 ID3375853823

PECOS Enrollment IDI20151112001413

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140018

Location1500 S Fairfield AveChicago, IL 60608 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60623 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

JOONGYU DANIEL SONG MD

Internal Medicine