DR. BRYAN ANTHONY KELLY (DO) – Pulmonary Disease Physician, NPI 1750678660

DR. BRYAN ANTHONY KELLY (DO) is a healthcare provider. based in Mount clemens, Michigan. specializing in INTERNAL MEDICINE, PULMONARY DISEASE, CRITICAL CARE (INTENSIVISTS). They hold the professional credentials DO. They hold a License No. 5101019300 (MI). The NPI Number for DR. BRYAN ANTHONY KELLY (DO) is 1750678660

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRYAN ANTHONY KELLY (DO)
NPI
1750678660
Phone
(586) 493-8000
Address
1000 HARRINGTON ST
Enumeration Date
30 June 2011
Last Update Date
2 February 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
3139162600
Graduation Year
2011 (15 years ago)
PAC ID
7416173968
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20160527000769
Address ID
MI482022608DE2799XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

7,218 INTERNAL MEDICINE in MI

Provider Addresses for DR. BRYAN ANTHONY KELLY (DO)

  • 1000 HARRINGTON ST

    MOUNT CLEMENS, MI 480432920

    Phone: (586) 493-8000

    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 12 Open Payments records for all available years, with a total value of $993.

Total Amount is formed as General ($993) + Research ($0) + Ownership ($0) = $993.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($272).

Total Amount

$993

General + Research + Ownership

Payments

12

Total payment records

General Amount

$993

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2016-05-27

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
I20160527000769IPulmonary DiseaseMITBD

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
99291Critical care, first 30-74 minutes7625$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5130$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4226$0
94010Test to measure expiratory airflow and volume3232$0
99215Established patient office or other outpatient visit, 40-54 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 48043)

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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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

Where can patients find DR. BRYAN ANTHONY KELLY (DO)'s NPI?
You can confirm DR. BRYAN ANTHONY KELLY (DO) with NPI 1750678660; it appears in the national provider directory.
Is DR. BRYAN ANTHONY KELLY (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. BRYAN ANTHONY KELLY (DO) list a primary specialty?
If you are matching referrals, note Pulmonary Disease Physician for DR. BRYAN ANTHONY KELLY (DO). Clinical services aligned with this taxonomy classification.
Where does public data place DR. BRYAN ANTHONY KELLY (DO)?
The snapshot lists Mount Clemens, Michigan for DR. BRYAN ANTHONY KELLY (DO); download NPPES for the complete set.
Is DR. BRYAN ANTHONY KELLY (DO) a real provider?
This page reflects official NPPES data for NPI 1750678660. Always confirm identity and privileges with the practice and licensing boards.

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