PAUL S KELLERMAN (MD) – Nephrology Physician, NPI 1497721401

Nephrology Physician

PAUL S KELLERMAN (MD) is a healthcare provider. based in Troy, Michigan. specializing in Nephrology Physician. They hold the professional credentials MD. They hold a License No. 45019 (WI). The NPI Number for PAUL S KELLERMAN (MD) is 1497721401

Main info

Male

44 Years Of Experience

Accepts Medicare Assignment

Name

PAUL S KELLERMAN (MD)

NPI

1497721401

Phone

Not provided

Address

130 TOWN CENTER DR STE 203

Enumeration Date

28 February 2006

Last Update Date

15 October 2024

Doctor Profile

Medical School Name

UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE

Secondary Phone

5867774668

Graduation Year

1982 (44 years ago)

PAC ID

6204961915

Group Practice PAC ID

7214299866

Professional Enrollment ID

I20141231000394

Contacts

SOAP Endpoint

https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq

Secure Messaging

pkellerman81948@direct.beaumont.edu

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience73

Completeness85

Years active:20State licenses:2Other namesUpdated within 12 months

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Provider Addresses for PAUL S KELLERMAN (MD)

203, Town Center Drive, Troy, Oakland County, Michigan, 48084, United States
BEAUMONT MEDICAL STAFF AFFAIRS
TROY, MI 480841744
Phone:
Type: Mailing
248, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
BEAUMONT CHRONIC DISEASE MANAGEMENT CLINIC
ROYAL OAK, MI 480736770
Phone: (248) 551-1515
Fax: (248) 551-1516
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48084)

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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: 7214299866View full group profile

Name	Specialty	State
MRS. ALEXANDRA NOELLE HAYOSH (NP-C)	-	MI
DR. MATTHEW BURNS COTANT (M.D.)	Hematology/Oncology, Internal Medicine	MI
AGNES WROBEL (M.D.)	P S Y C H I A T R Y	MI
ADIL KHAN (M.D.)	-	MI
THOMAS A MLADSI (MD)	Internal Medicine, Cardiovascular Disease (Cardiology)	MI
DR. MAHER RABAH (DO)	Interventional Cardiology, Cardiovascular Disease (Cardiology)	MI
ROBERT K WELSH (MD)	-	MI
Unknown Individual	-	MI
KATHERINE ANNE REPP (NP)	-	MI
DR. MELISSA A STEVENS (MD)	-	MI