MOSES III KELLEY (M.D.) – Cardiovascular Disease Physician, NPI 1124156633

MOSES III KELLEY (M.D.) is a healthcare provider. based in Little rock, Arkansas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. ME156585 (FL). The NPI Number for MOSES III KELLEY (M.D.) is 1124156633

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MOSES III KELLEY (M.D.)
NPI
1124156633
Phone
(501) 686-8000
Address
4301 W MARKHAM ST # 783
Enumeration Date
28 February 2007
Last Update Date
5 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
6153414000
Graduation Year
1992 (34 years ago)
PAC ID
4082715271
Group Practice PAC ID
3779775432
Professional Enrollment ID
I20230911001699
Address ID
TN372082918NA1818XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

260 CARDIOVASCULAR DISEASE (CARDIOLOGY) in AR

Provider Addresses for MOSES III KELLEY (M.D.)

  • 4301 W MARKHAM ST # 783

    LITTLE ROCK, AR 722057101

    Phone: (501) 686-8000

    Type: Mailing

  • 1400 N US Highway 441 Ste 810

    The Villages, FL 321598987

    Phone: (844) 884-9355

    Fax: (352) 674-8714

    Type: Location

  • 2955 BROWNWOOD BLVD

    THE VILLAGES, FL 321632039

    Phone: (844) 884-9355

    Fax: (352) 674-8714

    Type: Location

  • 1020 LAKE SUMTER LNDG

    THE VILLAGES, FL 321622699

    Phone: (352) 674-8905

    Fax: (352) 674-8901

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($112).

Total Amount

$270

General + Research + Ownership

Payments

11

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-12

Latest reported date

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: 2023-09-11

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
I20070718000070ICardiovascular Disease (Cardiology)ARTBD
I20230911001699ICardiovascular Disease (Cardiology)TNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2422$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1717$0
78452Nuclear medicine studies of heart muscle at rest and with stress and spect1616$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function1313$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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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: 3779775432View full group profile
NameSpecialtyState
P A T H O L O G YTN
Physician AssistantTN
General SurgeryTN
U R O L O G YTN
Orthopedic SurgeryOH
Rheumatology, Internal MedicineTN
General SurgeryOH
R H E U M A T O L O G YTN
Orthopedic SurgeryVA
P O D I A T R YTN

Reviews

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Frequently asked questions

Can I cross-check MOSES III KELLEY (M.D.) using NPI 1124156633?
NPI 1124156633 belongs to MOSES III KELLEY (M.D.); compare other details if you need extra assurance.
Would MOSES III KELLEY (M.D.) appear as active to a payer?
You can treat MOSES III KELLEY (M.D.) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe MOSES III KELLEY (M.D.)'s focus?
For MOSES III KELLEY (M.D.), the primary taxonomy reads as Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MOSES III KELLEY (M.D.)?
Travel planning: use Little Rock, Arkansas as the reference point for MOSES III KELLEY (M.D.), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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