DR. RICHARD J KELLY (MD) – Anesthesiology Physician, NPI 1346205663

DR. RICHARD J KELLY (MD) is a healthcare provider. based in Stockton, California. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. G80029 (CA). The NPI Number for DR. RICHARD J KELLY (MD) is 1346205663

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICHARD J KELLY (MD)
NPI
1346205663
Phone
(209) 956-7725
Address
PO BOX 7096
Enumeration Date
19 April 2006
Last Update Date
27 January 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
1993 (33 years ago)
PAC ID
8820081391
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20250911000937
Address ID
MI495084600KE4444XSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,371 ANESTHESIOLOGY in CA

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Provider Addresses for DR. RICHARD J KELLY (MD)

  • Stockton Post Office, 401, North San Joaquin Street, Stockton, San Joaquin County, California, 95202, United States

    STOCKTON, CA 952670096

    Phone: (209) 956-7725

    Fax: (209) 956-7733

    Type: Mailing

  • Holman Road, Carmel Valley, Monterey County, California, United States

    MONTEREY, CA 93940

    Phone: (831) 624-5311

    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: 2026-02-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040408000569IAnesthesiologyCATBD
I20250911000937IAnesthesiologyMITBD
I20260218000780IAnesthesiologyKYTBD

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
36620Insertion of artery tube for blood sampling or infusion through skin3030$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2222$0
36556Insertion of non-tunneled central venous tube for infusion (5 years or older)1414$0
00560Anesthesia for procedure on heart and large blood vessels1111$0
01926Anesthesia for x-ray on artery of brain, heart, or chest1111$0
View full utilization report →

Insurance plans in this area (ZIP 95267)

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Provider's Procedures

DR. RICHARD J KELLY (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYCA00142Anesthesia for lens surgery5656
ANESTHESIOLOGYCA00790Anesthesia for procedure in upper abdomen including use of an endoscope1212

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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
Geriatric Medicine, Internal MedicineMI
-MI
-MI

Reviews

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Frequently asked questions

Can I cross-check DR. RICHARD J KELLY (MD) using NPI 1346205663?
NPI 1346205663 belongs to DR. RICHARD J KELLY (MD); compare other details if you need extra assurance.
Is there an active status for DR. RICHARD J KELLY (MD)?
For scheduling context, DR. RICHARD J KELLY (MD) is shown as active in the registry.
What kind of doctor is DR. RICHARD J KELLY (MD)?
DR. RICHARD J KELLY (MD) is associated with Anesthesiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in California is DR. RICHARD J KELLY (MD) registered?
Use Stockton, California as the headline location for DR. RICHARD J KELLY (MD) here.
Does DR. RICHARD J KELLY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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