DONALD SHANE KELLY (MD) – Diagnostic Radiology Physician, NPI 1417952185
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
579 DIAGNOSTIC RADIOLOGY in AL
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Provider Addresses for DONALD SHANE KELLY (MD)
Southbridge Parkway, English Village, Birmingham, Jefferson County, Alabama, 35209, United States
STE 300
BIRMINGHAM, AL 352097718
Phone: (205) 871-4274
Fax: (205) 871-4301
Type: Mailing
St. Vincent's East, 50, Medical Park Drive East, Barnisdale Forest, Birmingham, Jefferson County, Alabama, 35235, United States
BIRMINGHAM, AL 352353401
Phone: (205) 838-3435
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.
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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: 2004-11-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041116001045 | I | Diagnostic Radiology | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 2,240 | 28 | $0 |
| 71045 | X-ray of chest, 1 view | 961 | 816 | $0 |
| 70450 | Ct scan head or brain without contrast | 332 | 324 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 170 | 167 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 154 | 151 | $0 |
Insurance plans in this area (ZIP 35209)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | AL | |
| - | AL | |
| - | AL | |
| Diagnostic Radiology, Interventional Radiology | AL | |
| - | AL | |
| Radiation Oncology | AL | |
| Diagnostic Radiology | AL | |
| Diagnostic Radiology | AL |
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