MELISSA MARIE KELLY (DO) – Hospitalist Physician, NPI 1104057843

MELISSA MARIE KELLY (DO) is a healthcare provider. based in Bolingbrook, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 036.128764 (IL). The NPI Number for MELISSA MARIE KELLY (DO) is 1104057843

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA MARIE KELLY (DO)
NPI
1104057843
Phone
(630) 312-7755
Address
1000 REMINGTON BLVD
Enumeration Date
29 July 2009
Last Update Date
6 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303125000
Graduation Year
2009 (17 years ago)
PAC ID
4183877236
Group Practice PAC ID
8022305697
Professional Enrollment ID
I20130123000498
Address ID
IL604404906BO500XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

8,824 INTERNAL MEDICINE in IL

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Provider Addresses for MELISSA MARIE KELLY (DO)

  • 1000, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    SUITE 200 ATTN: AIM

    BOLINGBROOK, IL 604405114

    Phone: (630) 312-7755

    Mailing address matches the actual address.

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 $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($113).

Total Amount

$113

General + Research + Ownership

Payments

1

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2013-01-23

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
I20130123000498IInternal MedicineILTBD

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 minutes862292$0
99239Hospital discharge day management, more than 30 minutes275266$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes147140$0
99291Critical care, first 30-74 minutes7830$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and4141$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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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: 8022305697View full group profile
NameSpecialtyState
Internal MedicineIL
Internal MedicineIL
Internal MedicineFL
Internal Medicine, Pediatric MedicineIL
Geriatric MedicineIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineNY
Internal MedicineIL
H O S P I T A L I S TIL

Reviews

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Frequently asked questions

Can I verify MELISSA MARIE KELLY (DO) with an NPI only?
You can start verification with NPI 1104057843 for MELISSA MARIE KELLY (DO), then check state licensing separately.
Does the file indicate MELISSA MARIE KELLY (DO) is practicing under active NPI?
Directory data currently reports MELISSA MARIE KELLY (DO) as active.
What healthcare role does MELISSA MARIE KELLY (DO) hold?
Scheduling teams often label MELISSA MARIE KELLY (DO) under Hospitalist Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MELISSA MARIE KELLY (DO)?
MELISSA MARIE KELLY (DO)'s geographic hint is Bolingbrook, Illinois in our summary view.
Why does MELISSA MARIE KELLY (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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