KERA MARIE CONNOLLY (D.O.) – Family Medicine Physician, NPI 1205149937

KERA MARIE CONNOLLY (D.O.) is a healthcare provider. based in Largo, Florida. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS 11581 (FL). The NPI Number for KERA MARIE CONNOLLY (D.O.) is 1205149937

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KERA MARIE CONNOLLY (D.O.)
NPI
1205149937
Phone
(727) 581-4848
Address
10225 ULMERTON RD
Enumeration Date
22 July 2010
Last Update Date
25 January 2017

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
3527997000
Graduation Year
2010 (16 years ago)
PAC ID
3678714193
Group Practice PAC ID
6406907278
Professional Enrollment ID
I20130725000942
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for KERA MARIE CONNOLLY (D.O.)

  • 10225 ULMERTON RD

    1B

    LARGO, FL 337713538

    Phone: (727) 581-4848

    Fax: (727) 584-7429

    Type: Mailing

  • 2 N BELCHER RD

    CLEARWATER, FL 337653201

    Phone: (727) 449-2224

    Fax: (727) 441-4107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $373.

Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.

Last reported payment date: 2024-02-23 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($126).

Total Amount

$373

General + Research + Ownership

Payments

20

Total payment records

General Amount

$373

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-23

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2013-07-25

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
I20130725000942IGeneral PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2415$0
View full utilization report →

Insurance plans in this area (ZIP 33771)

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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: 6406907278View full group profile
NameSpecialtyState
Nurse PractitionerFL
Family PracticeFL
Family PracticeCA
Nurse PractitionerFL
Nurse PractitionerFL
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the registry number for KERA MARIE CONNOLLY (D.O.)?
The registry entry for KERA MARIE CONNOLLY (D.O.) shows NPI 1205149937.
Does the public listing show KERA MARIE CONNOLLY (D.O.) as active?
KERA MARIE CONNOLLY (D.O.)'s NPI record reflects an active status in NPPES.
What services align with KERA MARIE CONNOLLY (D.O.)'s listing?
KERA MARIE CONNOLLY (D.O.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KERA MARIE CONNOLLY (D.O.)?
The directory associates KERA MARIE CONNOLLY (D.O.) with Largo, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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