KELLY HALT (DO) – Emergency Medicine Physician, NPI 1073961926

KELLY HALT (DO) is a healthcare provider. based in Indianapolis, Indiana. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 5101022403 (MI). The NPI Number for KELLY HALT (DO) is 1073961926

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KELLY HALT (DO)
NPI
1073961926
Phone
(317) 528-8148
Address
8111 S EMERSON AVE
Enumeration Date
1 June 2016
Last Update Date
24 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3175285261
Graduation Year
2016 (10 years ago)
PAC ID
0244526507
Group Practice PAC ID
2365338480
Professional Enrollment ID
I20190521003214
Address ID
IN462378601IN8111XAVEX400

Contacts

Secure Messaging
khalt427435@Direct.FranciscanAlliance.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,266 EMERGENCY MEDICINE in IN

Provider Addresses for KELLY HALT (DO)

  • 8111 S EMERSON AVE

    INDIANAPOLIS, IN 462378601

    Phone: (317) 528-8148

    Type: Location

  • 1000, Oakland Drive, Kalamazoo, Kalamazoo County, Michigan, 49008, United States

    KALAMAZOO, MI 490081282

    Phone: (269) 337-6019

    Type: Mailing

  • PO BOX 7112

    INDIANAPOLIS, IN 462077112

    Phone: (317) 528-8148

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-09-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-19

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: 2019-05-21

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
I20190521003214IEmergency MedicineINTBD

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
99285Emergency department visit with high level of medical decision making448443$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only358327$0
99284Emergency department visit with moderate level of medical decision making9291$0
99291Critical care, first 30-74 minutes5353$0
View full utilization report →

Insurance plans in this area (ZIP 46237)

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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: 2365338480View full group profile
NameSpecialtyState
Emergency MedicineMI
Emergency MedicineIN
Emergency MedicineIN
Emergency MedicinePA
Emergency MedicineIN
Emergency MedicineIN
Emergency MedicineIN
-KY
Emergency MedicineIN
Emergency MedicineIN

Reviews

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Frequently asked questions

Can I verify KELLY HALT (DO) with an NPI only?
You can start verification with NPI 1073961926 for KELLY HALT (DO), then check state licensing separately.
Is KELLY HALT (DO) still practicing?
KELLY HALT (DO) is currently listed as active in the public NPI registry.
What is KELLY HALT (DO)'s specialty?
The listing groups KELLY HALT (DO) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KELLY HALT (DO) based?
KELLY HALT (DO) is tied to Indianapolis, Indiana in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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