DR. WILLIAM M. KELLY (M.D.) – Diagnostic Neuroimaging (Radiology) Physician, NPI 1114952165

DR. WILLIAM M. KELLY (M.D.) is a healthcare provider. based in Palm desert, California. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. A34125 (CA). The NPI Number for DR. WILLIAM M. KELLY (M.D.) is 1114952165

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. WILLIAM M. KELLY (M.D.)
NPI
1114952165
Phone
(760) 776-9777
Address
44489 TOWN CENTER WAY
Enumeration Date
11 July 2006
Last Update Date
3 February 2010

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5594472600
Graduation Year
1978 (48 years ago)
PAC ID
9032190160
Group Practice PAC ID
2466553128
Professional Enrollment ID
I20060113000506
Address ID
CA937105266FR6191XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,800 DIAGNOSTIC RADIOLOGY in CA

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Provider Addresses for DR. WILLIAM M. KELLY (M.D.)

  • Bagel Bistro, 44489, Town Center Way, Palm Desert, Riverside County, California, 92260, United States

    STE. D

    PALM DESERT, CA 922602789

    Phone: (760) 776-9777

    Fax: (760) 776-4999

    Type: Mailing

  • Fred Waring Drive, Palm Desert, Riverside County, California, 92235, United States

    SUITE A

    PALM DESERT, CA 922609339

    Phone: (760) 776-8001

    Fax: (760) 776-9636

    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: 2006-01-13

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
I20060113000506IDiagnostic RadiologyCATBD

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
A9575Injection, gadoterate meglumine, 0.1 ml12,87273$0
Q9967Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml2,04022$0
72148Mri scan of lower spinal canal without contrast303302$0
72141Mri scan of upper spinal canal without contrast138137$0
72146Mri scan of middle spinal canal without contrast7473$0
View full utilization report →

Insurance plans in this area (ZIP 92260)

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Provider's Procedures

DR. WILLIAM M. KELLY (M.D.) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71250CT scan chest339315
DIAGNOSTIC RADIOLOGYCA73110X-ray of wrist, minimum of 3 views6656
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views123102
DIAGNOSTIC RADIOLOGYCA77012Radiological supervision and interpretation of CT guidance for needle insertion2323
DIAGNOSTIC RADIOLOGYCA93926Ultrasound study of arteries and arterial grafts of one leg or limited1111
DIAGNOSTIC RADIOLOGYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers251206

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: 2466553128View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Diagnostic RadiologyID
Diagnostic RadiologyMA
Diagnostic RadiologyFL
Diagnostic RadiologyCA
Diagnostic RadiologyMD
Diagnostic RadiologyAZ
-CA
Diagnostic RadiologyCA

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Frequently asked questions

What is DR. WILLIAM M. KELLY (M.D.)'s NPI number?
DR. WILLIAM M. KELLY (M.D.)'s NPI is 1114952165 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. WILLIAM M. KELLY (M.D.)?
You should see DR. WILLIAM M. KELLY (M.D.) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. WILLIAM M. KELLY (M.D.)?
At a glance, DR. WILLIAM M. KELLY (M.D.) is tied to Diagnostic Neuroimaging (Radiology) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. WILLIAM M. KELLY (M.D.)?
Directory geography for DR. WILLIAM M. KELLY (M.D.) centers on Palm Desert, California.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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