SEKOU KHARY KELSEY (MD) – Obstetrics & Gynecology Physician, NPI 1982661567

SEKOU KHARY KELSEY (MD) is a healthcare provider. based in Shiloh, Illinois. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036109572 (IL). The NPI Number for SEKOU KHARY KELSEY (MD) is 1982661567

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
SEKOU KHARY KELSEY (MD)
NPI
1982661567
Phone
(618) 234-2390
Address
1414 CROSS ST STE 240
Enumeration Date
27 April 2006
Last Update Date
2 April 2021

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6186073900
Graduation Year
1999 (27 years ago)
PAC ID
8628062221
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20040414000908
Address ID
IL622692988SH1418XSTXX302

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,923 OBSTETRICS/GYNECOLOGY in IL

Provider Addresses for SEKOU KHARY KELSEY (MD)

  • 1414 CROSS ST STE 240

    SHILOH, IL 622692988

    Phone: (618) 234-2390

    Type: Location

  • 4600 Memorial Dr

    Suite 400

    Belleville, IL 622265368

    Phone: (618) 234-2390

    Fax: (618) 234-9936

    Type: Location

  • Memorial Drive, Royal Heights, Belleville, Saint Clair County, Illinois, 62226, United States

    SUITE 400

    BELLEVILLE, IL 622265368

    Phone: (618) 234-2390

    Fax: (618) 234-9936

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $766.

Total Amount is formed as General ($766) + Research ($0) + Ownership ($0) = $766.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: MAYNE PHARMA COMMERCIAL LLC ($115).

Total Amount

$766

General + Research + Ownership

Payments

41

Total payment records

General Amount

$766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2004-04-14

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
I20040414000908IObstetrics/GynecologyILTBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1111$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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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: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH

Reviews

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Frequently asked questions

Can I cross-check SEKOU KHARY KELSEY (MD) using NPI 1982661567?
NPI 1982661567 belongs to SEKOU KHARY KELSEY (MD); compare other details if you need extra assurance.
Is SEKOU KHARY KELSEY (MD) still an active registrant?
SEKOU KHARY KELSEY (MD) carries an active NPI according to the public dataset.
What clinical focus is listed for SEKOU KHARY KELSEY (MD)?
At a glance, SEKOU KHARY KELSEY (MD) is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is SEKOU KHARY KELSEY (MD) associated with Shiloh?
Public fields place SEKOU KHARY KELSEY (MD) around Shiloh, Illinois. Always confirm the exact site before visiting.
Does SEKOU KHARY KELSEY (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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