MALIK J KELLY (MD) – Hospitalist Physician, NPI 1679776900

MALIK J KELLY (MD) is a healthcare provider. based in Yalesville, Connecticut. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. 045394 (CT). The NPI Number for MALIK J KELLY (MD) is 1679776900

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MALIK J KELLY (MD)
NPI
1679776900
Phone
(203) 284-1340
Address
PO BOX 4131
Enumeration Date
6 June 2007
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4437777000
Graduation Year
2004 (22 years ago)
PAC ID
8527168780
Group Practice PAC ID
0547413825
Professional Enrollment ID
I20091007000594
Address ID
MD212373901BA9000XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:19State licenses:1Digital endpointsOther names

3,448 INTERNAL MEDICINE in CT

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Provider Addresses for MALIK J KELLY (MD)

  • Yalesville Post Office, 314, Main Street, Yalesville, Wallingford, South Central Connecticut Planning Region, Connecticut, 06492, United States

    YALESVILLE, CT 064921481

    Phone: (203) 284-1340

    Fax: (203) 265-4557

    Type: Mailing

  • Mid State Medical Center, 435, Lewis Avenue, Meriden, New Haven County, Connecticut, 06451, United States

    MERIDEN, CT 064512101

    Phone: (203) 284-1340

    Fax: (203) 265-4557

    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: 2009-10-07

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
I20091007000594IInternal MedicineMDTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes742236$0
99239Hospital discharge day management, more than 30 minutes160157$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes11151$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2727$0
99238Hospital discharge day management, 30 minutes or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 06492)

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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: 0547413825View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MD
-MD
-MD
-MD
Internal MedicineMD
Critical Care (Intensivists), Sleep Medicine, Pulmonary DiseaseMD
-MD
Diagnostic Radiology, Interventional RadiologyPA
Geriatric Medicine, Internal MedicineMD
Orthopedic SurgeryMD

Reviews

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Frequently asked questions

What is MALIK J KELLY (MD)'s NPI number?
MALIK J KELLY (MD)'s NPI is 1679776900 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MALIK J KELLY (MD)?
You should see MALIK J KELLY (MD) as active in CMS-hosted NPPES data.
What area of care is associated with MALIK J KELLY (MD)?
MALIK J KELLY (MD)'s record emphasizes Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is MALIK J KELLY (MD) located near Yalesville?
MALIK J KELLY (MD) currently maps to Yalesville, Connecticut in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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