KELLEY M. MCINTYRE (MD) – Internal Medicine Physician, NPI 1497710693

KELLEY M. MCINTYRE (MD) is a healthcare provider. based in Chicago, Illinois. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 36930 (KY). The NPI Number for KELLEY M. MCINTYRE (MD) is 1497710693

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY M. MCINTYRE (MD)
NPI
1497710693
Phone
(502) 588-9490
Address
PO BOX 776351
Enumeration Date
19 April 2006
Last Update Date
19 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5028997163
Graduation Year
1999 (27 years ago)
PAC ID
2163470493
Group Practice PAC ID
0042740516
Professional Enrollment ID
I20050104000440
Address ID
KY402235181LO13050DRXX302

Contacts

Secure Messaging
kmcintyre5969@direct.nortonhealthcare.org
FHIR Endpoint
https://epicsoap.nortonhealthcare.org/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,216 INTERNAL MEDICINE in KY

Provider Addresses for KELLEY M. MCINTYRE (MD)

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606776351

    Phone: (502) 588-9490

    Fax: (502) 272-5116

    Type: Mailing

  • 3 AUDUBON PLAZA DR STE LL2

    LOUISVILLE, KY 402171360

    Phone: (502) 636-8095

    Fax: (502) 636-8097

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 47 Open Payments records for all available years, with a total value of $29,916.

Total Amount is formed as General ($29,916) + Research ($0) + Ownership ($0) = $29,916.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Novo Nordisk Inc ($29,786).

Total Amount

$29,916

General + Research + Ownership

Payments

47

Total payment records

General Amount

$29,916

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2005-01-04

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
I20050104000440IInternal MedicineKYTBD

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 minutes304138$0
36415Insertion of needle into vein for collection of blood sample240135$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7878$0
G0008Administration of influenza virus vaccine3939$0
90662Influenza vaccine split virus, preservative free3434$0
View full utilization report →

Insurance plans in this area (ZIP 60677)

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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: 0042740516View full group profile
NameSpecialtyState
Internal MedicineKY

Reviews

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Frequently asked questions

How do I look up KELLEY M. MCINTYRE (MD) by NPI?
Use NPI 1497710693 when you need to reference KELLEY M. MCINTYRE (MD) in forms, claims, or directories.
Does this profile mean KELLEY M. MCINTYRE (MD) is currently active?
Yes — KELLEY M. MCINTYRE (MD) appears active in the national provider directory.
Does KELLEY M. MCINTYRE (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for KELLEY M. MCINTYRE (MD). Clinical services aligned with this taxonomy classification.
Where is KELLEY M. MCINTYRE (MD)'s primary listing?
We display Chicago, Illinois because that is what the record indicates for KELLEY M. MCINTYRE (MD).
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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