MATTHEW KELLY – Emergency Medicine Physician, NPI 1265460109

MATTHEW KELLY is a healthcare provider. based in Birmingham, Alabama. specializing in EMERGENCY MEDICINE. They hold a License No. 29159 (AL). The NPI Number for MATTHEW KELLY is 1265460109

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW KELLY
NPI
1265460109
Phone
(205) 975-7387
Address
619 19th St S
Enumeration Date
29 June 2006
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059344011
Graduation Year
1999 (27 years ago)
PAC ID
3072507508
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20081120000815
Address ID
AL352491900BI619XXSXXX400

Contacts

Secure Messaging
mpkelly@direct.uabmedicine.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

702 EMERGENCY MEDICINE in AL

Provider Addresses for MATTHEW KELLY

  • 619 19th St S

    Birmingham, AL 352331900

    Phone: (205) 975-7387

    Type: Location

  • Hospital of the University of Pennsylvania, 3400, Spruce Street, University City, Philadelphia, Philadelphia County, Pennsylvania, 19104, United States

    GROUND FLOOR RAVDIN

    PHILADELPHIA, PA 19104

    Phone: (215) 662-6698

    Type: Mailing

  • 1717 6TH AVE S

    BIRMINGHAM, AL 352331801

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081120000815IEmergency MedicineALTBD
I20140812000159IEmergency MedicinePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making130128$0
99284Emergency department visit with moderate level of medical decision making9290$0
11042Removal of skin and tissue, 20.0 sq cm or less8041$0
99214Established patient office or other outpatient visit, 30-39 minutes6735$0
99183Management of oxygen chamber therapy5611$0
View full utilization report →

Insurance plans in this area (ZIP 35233)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

Can I cross-check MATTHEW KELLY using NPI 1265460109?
NPI 1265460109 belongs to MATTHEW KELLY; compare other details if you need extra assurance.
Is there an active status for MATTHEW KELLY?
For scheduling context, MATTHEW KELLY is shown as active in the registry.
What kind of doctor is MATTHEW KELLY?
MATTHEW KELLY is associated with Emergency Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MATTHEW KELLY associated with Birmingham?
Public fields place MATTHEW KELLY around Birmingham, Alabama. Always confirm the exact site before visiting.
Does MATTHEW KELLY accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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