KELLY J ALLEN (MD) – Anesthesiology Physician, NPI 1861485419

KELLY J ALLEN (MD) is a healthcare provider. based in Maitland, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. ME46059 (FL). The NPI Number for KELLY J ALLEN (MD) is 1861485419

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
KELLY J ALLEN (MD)
NPI
1861485419
Phone
(407) 667-0444
Address
291 SOUTHHALL LN
Enumeration Date
30 August 2005
Last Update Date
27 February 2008

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4073035600
Graduation Year
1982 (44 years ago)
PAC ID
5698805695
Group Practice PAC ID
0345143152
Professional Enrollment ID
I20100618000256
Address ID
FL328031248OR601XXSTXX400
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

3,340 ANESTHESIOLOGY in FL

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Provider Addresses for KELLY J ALLEN (MD)

  • 291, Southhall Lane, Maitland, Orange County, Florida, 32751, United States

    SUITE 201

    MAITLAND, FL 327517274

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Mailing

  • Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-09-21 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$22
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: 2010-06-18

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
I20100618000256IAnesthesiologyFLTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3131$0
00142Anesthesia for lens surgery2525$0
00811Anesthesia for other procedure on large bowel using an endoscope1616$0
00732Anesthesia for procedure on gallbladder, pancreas, or liver using an endoscope1414$0
01922Anesthesia for x-ray or radiation therapy1414$0
View full utilization report →

Insurance plans in this area (ZIP 32751)

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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: 0345143152View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
-FL
-FL

Reviews

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Frequently asked questions

What number should I use to identify KELLY J ALLEN (MD) for billing?
Administrative and clinical systems typically use NPI 1861485419 for KELLY J ALLEN (MD).
Is KELLY J ALLEN (MD) currently accepting referrals based on NPI status?
Registry metadata lists KELLY J ALLEN (MD) as active.
Which specialty label fits KELLY J ALLEN (MD)?
NPPES ties KELLY J ALLEN (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY J ALLEN (MD)?
The directory associates KELLY J ALLEN (MD) with Maitland, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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