DR. CHARLES E KELLY (MD) – Specialist, NPI 1730123639

DR. CHARLES E KELLY (MD) is a healthcare provider. based in Roseville, Minnesota. specializing in Specialist. They hold the professional credentials MD. They hold a License No. 26263 (MN). The NPI Number for DR. CHARLES E KELLY (MD) is 1730123639

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHARLES E KELLY (MD)
NPI
1730123639
Phone
(651) 639-9150
Address
3050 CENTRE POINTE DRIVE
Enumeration Date
15 June 2006
Last Update Date
11 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7635850600
Graduation Year
1980 (46 years ago)
PAC ID
6709832421
Group Practice PAC ID
4385966910
Professional Enrollment ID
I20141219000721
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. CHARLES E KELLY (MD)

  • 3050, Centre Pointe Drive, Roseville, Ramsey County, Minnesota, 55113, United States

    SUITE 200

    ROSEVILLE, MN 55113

    Phone: (651) 639-9150

    Fax: (651) 639-9153

    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)

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 55113)

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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: 4385966910View full group profile
NameSpecialtyState
BRADLEY LEAFBLAD (PT)
Physical Therapist In Private PracticeMN
KELLY CHRISTINE SANBORN (PT, DPT)
-MN
JAMES C SMITH (RPT)
-MN
ROXANN ARLINE ELLER (PT)
-MN
SHARON ROSE IVERSON (PT)
-MN
PRACHI SANSARE
-MN
MR. THOMAS J BALFANZ (MD)
-MN
MS. PAMELA JAMES BECKER (PT)
-MN
JULIE L BETINSKY (PT)
-FL
STEPHANIE JO HATLESTAD (P.T.)
-MN

Reviews

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Frequently asked questions

Does DR. CHARLES E KELLY (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. CHARLES E KELLY (MD) uses 1730123639.
Does CMS list DR. CHARLES E KELLY (MD) as active?
Yes — DR. CHARLES E KELLY (MD) is active in the NPI listing used on this page.
What is DR. CHARLES E KELLY (MD) best known for clinically?
Directory data describes DR. CHARLES E KELLY (MD) with Other Service Providers. Clinical services aligned with this taxonomy classification.
Does DR. CHARLES E KELLY (MD) list a practice location?
Patients near Roseville, Minnesota may find DR. CHARLES E KELLY (MD) in results; validate coverage separately.
Why does DR. CHARLES E KELLY (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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