SEAN KELLEY (M.D.) – Diagnostic Radiology Physician, NPI 1194144170
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
Provider Addresses for SEAN KELLEY (M.D.)
406 S LEXINGTON DR
FOLSOM, CA 956306879
Phone:
Type: Mailing
200 MISSION BLVD
JACKSON, CA 956422564
Phone: (209) 223-7500
Type: Location
513 PARNASSUS AVE STE S-261
SAN FRANCISCO, CA 941432205
Phone: (415) 476-1575
Type: Mailing
50 N Medical Drive Slc Ut
Salt Lake City, UT 841320001
Phone: (801) 581-7606
Type: Location
513 Parnassus Ave Ste S-261
San Francisco, CA 941432205
Phone: (415) 476-1575
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: 2021-10-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190701000768 | I | Diagnostic Radiology | CA | TBD |
| I20211008002625 | I | Diagnostic Radiology | OR | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,673 | 1,252 | $0 |
| 77067 | Screening mammography | 807 | 807 | $0 |
| 77063 | Screening 3d breast mammography | 746 | 746 | $0 |
| 70450 | Ct scan head or brain without contrast | 617 | 564 | $0 |
| 71046 | X-ray of chest, 2 views | 578 | 541 | $0 |
Insurance plans in this area (ZIP 95630)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology, Interventional Radiology | IN | |
| Hematology/Oncology, Internal Medicine | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Diagnostic Radiology | CA | |
| - | CA | |
| Internal Medicine, Hematology/Oncology | CA | |
| Nurse Practitioner | CA | |
| Diagnostic Radiology | CA | |
| - | CA | |
| H E M A T O L O G Y/ O N C O L O G Y | CA |
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