DR. KAY KELTS (DO) – Family Medicine Physician, NPI 1083956932

DR. KAY KELTS (DO) is a healthcare provider. based in Park ridge, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 036139481 (IL). The NPI Number for DR. KAY KELTS (DO) is 1083956932

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAY KELTS (DO)
NPI
1083956932
Phone
(847) 318-6020
Address
1775 BALLARD RD
Enumeration Date
19 March 2013
Last Update Date
27 August 2020

Doctor Profile

Medical School Name
ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED
Secondary Phone
6053422880
Graduation Year
2013 (13 years ago)
PAC ID
5092010561
Group Practice PAC ID
5890691075
Professional Enrollment ID
I20200917001511
Address ID
SD577014677RA717XXSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

488 FAMILY PRACTICE in SD

Provider Addresses for DR. KAY KELTS (DO)

  • 1775 BALLARD RD

    PARK RIDGE, IL 600681005

    Phone: (847) 318-6020

    Type: Mailing

  • 717 SAINT FRANCIS ST

    RAPID CITY, SD 577014677

    Phone: (605) 342-2880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 138 Open Payments records for all available years, with a total value of $2,162.

Total Amount is formed as General ($2,162) + Research ($0) + Ownership ($0) = $2,162.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Amgen Inc. ($399).

Total Amount

$2,162

General + Research + Ownership

Payments

138

Total payment records

General Amount

$2,162

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20160728002321IFamily PracticeILTBD
I20200917001511IFamily PracticeSDTBD

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
J0897Injection, denosumab, 1 mg3,78045$0
36415Insertion of needle into vein for collection of blood sample506306$0
99214Established patient office or other outpatient visit, 30-39 minutes459304$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count302237$0
80061Blood test, lipids (cholesterol and triglycerides)263244$0
View full utilization report →

Insurance plans in this area (ZIP 60068)

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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: 5890691075View full group profile
NameSpecialtyState
Family Practice, Addiction Medicine, General Practice, Geriatric MedicineSD
-SD
-AZ
Gastroenterology, Internal MedicineSD
D E R M A T O L O G YSD
Physician AssistantSD
-SD
Family PracticeNE
Qualified AudiologistTX
Physician AssistantSD

Reviews

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Frequently asked questions

Does DR. KAY KELTS (DO) have a public NPI I can cite?
Public records show DR. KAY KELTS (DO) under NPI 1083956932.
Is DR. KAY KELTS (DO) currently accepting referrals based on NPI status?
Registry metadata lists DR. KAY KELTS (DO) as active.
Which specialty label fits DR. KAY KELTS (DO)?
NPPES ties DR. KAY KELTS (DO) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KAY KELTS (DO) in Park Ridge, Illinois?
For routing, start with Park Ridge, Illinois for DR. KAY KELTS (DO), then verify phone and hours locally.
Who maintains DR. KAY KELTS (DO)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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