DR. KELVIN JAMES WILEY (M.D.) – Specialist, NPI 1194810481

DR. KELVIN JAMES WILEY (M.D.) is a healthcare provider. based in Daytona beach, Florida. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 23431 (SC). The NPI Number for DR. KELVIN JAMES WILEY (M.D.) is 1194810481

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELVIN JAMES WILEY (M.D.)
NPI
1194810481
Phone
(386) 231-1090
Address
301 Memorial Medical Pkwy
Enumeration Date
4 October 2006
Last Update Date
12 January 2026

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9547718000
Graduation Year
1998 (28 years ago)
PAC ID
3971604638
Group Practice PAC ID
1759802333
Professional Enrollment ID
I20121011000564
Address ID
FL333084603FO4725XHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

2,521 CARDIOVASCULAR DISEASE (CARDIOLOGY) in FL

Provider Addresses for DR. KELVIN JAMES WILEY (M.D.)

  • 301 Memorial Medical Pkwy

    Daytona Beach, FL 321175167

    Phone: (386) 231-1090

    Fax: (386) 231-1092

    Type: Location

  • Papa John's, 1650, Margaret Street, Riverside, Jacksonville, Duval County, Florida, 32204, United States

    STE 302

    JACKSONVILLE, FL 322043868

    Phone: (803) 718-6251

    Type: Mailing

  • Saint Vincent’s Medical Center Southside, 4201, Belfort Road, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322161431

    Phone: (803) 718-6251

    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: 2012-10-11

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
I20121011000564ICardiovascular Disease (Cardiology)FLTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes405229$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes170169$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes10097$0
99239Hospital discharge day management, more than 30 minutes5451$0
99203New patient office or other outpatient visit, 30-44 minutes4545$0
View full utilization report →

Insurance plans in this area (ZIP 32117)

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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: 1759802333View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineIL
Physician AssistantOH
Family Practice, HospitalistFL
Internal Medicine, Internal Medicine, HospitalistPA
Internal MedicineMS
Hospitalist, Internal MedicineWV
Internal MedicineFL
Nurse PractitionerFL
Internal MedicineFL
Nurse PractitionerFL

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Frequently asked questions

How do I look up DR. KELVIN JAMES WILEY (M.D.) by NPI?
Use NPI 1194810481 when you need to reference DR. KELVIN JAMES WILEY (M.D.) in forms, claims, or directories.
Is DR. KELVIN JAMES WILEY (M.D.) currently active in the NPI registry?
CMS-published data lists DR. KELVIN JAMES WILEY (M.D.) as an active registrant.
Can you summarize DR. KELVIN JAMES WILEY (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. KELVIN JAMES WILEY (M.D.) with Other Service Providers. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KELVIN JAMES WILEY (M.D.)?
The page summarizes Daytona Beach, Florida for DR. KELVIN JAMES WILEY (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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