DR. KELLY HYDE (MD) – Anesthesiology Physician, NPI 1366516098

DR. KELLY HYDE (MD) is a healthcare provider. based in Dothan, Alabama. specializing in ANESTHESIOLOGY, INTERVENTIONAL PAIN MANAGEMENT. They hold the professional credentials MD. They hold a License No. 00024277 (AL). The NPI Number for DR. KELLY HYDE (MD) is 1366516098

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY HYDE (MD)
NPI
1366516098
Phone
(334) 793-5105
Address
1118 ROSS CLARK CIR
Enumeration Date
17 November 2006
Last Update Date
17 July 2008

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2563861600
Graduation Year
2000 (26 years ago)
PAC ID
4981776556
Group Practice PAC ID
7719894526
Professional Enrollment ID
I20080627000006
Address ID
AL356612805MU201XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

633 ANESTHESIOLOGY in AL

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Provider Addresses for DR. KELLY HYDE (MD)

  • 1118, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    STUITE 700

    DOTHAN, AL 363013001

    Phone: (334) 793-5105

    Fax: (334) 671-5073

    Type: Mailing

  • Southeast Health Campus, 1108, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    DOTHAN, AL 363013022

    Phone: (334) 793-5105

    Fax: (334) 671-5073

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080627000006IAnesthesiologyALTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope9189$0
00811Anesthesia for other procedure on large bowel using an endoscope5858$0
00813Anesthesia for procedure on small and large bowel using an endoscope3838$0
01992Anesthesia for nerve block and injection procedure, prone position2524$0
00790Anesthesia for other procedure on upper abdomen2322$0
View full utilization report →

Insurance plans in this area (ZIP 36301)

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Provider's Procedures

DR. KELLY HYDE (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYAL00142Anesthesia for lens surgery6156
ANESTHESIOLOGYAL31500Emergent insertion of breathing tube into windpipe cartilage using an endoscope1111

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: 7719894526View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL
A N E S T H E S I O L O G YAL

Reviews

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Frequently asked questions

What federal number belongs to DR. KELLY HYDE (MD)?
The federal identifier for DR. KELLY HYDE (MD) is NPI 1366516098.
Is DR. KELLY HYDE (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. KELLY HYDE (MD) treat or focus on?
Patients typically see DR. KELLY HYDE (MD) under the specialty Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. KELLY HYDE (MD)'s primary listing?
We display Dothan, Alabama because that is what the record indicates for DR. KELLY HYDE (MD).
How can I contact DR. KELLY HYDE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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