KERRY-ANN ALYSCIA KELLY (MD) – Obstetrics & Gynecology Physician, NPI 1023367141
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,007 OBSTETRICS/GYNECOLOGY in CA
Provider Addresses for KERRY-ANN ALYSCIA KELLY (MD)
4725 FIRST ST STE 100
PLEASANTON, CA 94655
Phone: (925) 734-3333
Type: Mailing
2500 MERCED ST
OB/GYN DEPARTMENT
SAN LEANDRO, CA 945774201
Phone: (510) 454-4090
Type: Mailing
1200 Northside Forsyth Dr
Cumming, GA 300417659
Phone: (770) 844-3200
Fax: (770) 844-3227
Type: Location
2500 Merced St
OB/GYN Department
San Leandro, CA 945774201
Phone: (510) 454-4090
Type: Location
4725 1ST ST STE 100
PLEASANTON, CA 945667366
Phone: (925) 734-3333
Type: Mailing
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: 2025-07-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160712001530 | I | Obstetrics/Gynecology | CA | TBD |
| I20250227002466 | I | Obstetrics/Gynecology | GA | TBD |
| I20250721000309 | I | Obstetrics/Gynecology | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94655)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| - | CA | |
| Internal Medicine | CA | |
| N E U R O L O G Y | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| Diagnostic Radiology | CA | |
| - | CA |
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