TIMOTHY L KELLY MD
NPI 1992798169
Anesthesiology - Pain Medicine in Redmond, OR

Active since August 23, 2005PECOS Enrolled
732 SW 23RD ST, REDMOND, OR 97756(541) 548-7483 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy L Kelly Md NPPES

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

TIMOTHY L KELLY MD (NPI 1992798169) is an individual pain medicine provider in Redmond, Oregon, licensed in Washington (MD00041959) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992798169
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameTIMOTHY L KELLYCredential: MD
Location Address732 SW 23RD STRedmond, OR 97756-9400
Mailing Address732 Sw 23rd StRedmond, OR 97756-9400 · (541) 548-7483
Sole ProprietorNo
Enumeration DateAugust 23, 2005
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
NPI 1992798169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in WA · MD00041959
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
732 SW 23RD ST, Redmond, OR 97756

Other Identifiers 5

Other0197446WA · Labor & Ind
Medicaid213668OR
Medicaid8358756WA
OtherP00326179Rr Medicare
Other8905947WA · Crime Victims

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 (PECOS)

Timothy L 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Hospice Care, Community Based
732 SW 23RD ST
REDMOND, OR 97756
Hospice Care, Community Based
732 SW 23RD ST
REDMOND, OR 97756
Family Medicine
732 SW 23RD ST
REDMOND, OR 97756
Nurse Practitioner (Family)
732 SW 23RD ST
REDMOND, OR 97756

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 Timothy Kelly's NPI number?

The NPI number for Timothy Kelly is 1992798169. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Timothy Kelly located?

Timothy Kelly practices at 732 SW 23rd St, Redmond, OR 97756. The listed phone number is (541) 548-7483.

What is Timothy Kelly's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Timothy Kelly enrolled in Medicare?

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

What insurance does Timothy Kelly accept?

Health plans from Moda Health Plan, Inc. list Timothy 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 Timothy Kelly was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.