DR. KELLY MARIE SWADE (D.O) – Family Medicine Physician, NPI 1457587602

DR. KELLY MARIE SWADE (D.O) is a healthcare provider. based in Kansas city, Missouri. specializing in FAMILY PRACTICE. They hold the professional credentials D.O. They hold a License No. 2015041241 (MO). The NPI Number for DR. KELLY MARIE SWADE (D.O) is 1457587602

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLY MARIE SWADE (D.O)
NPI
1457587602
Phone
Not provided
Address
2310 HOLMES ST
Enumeration Date
2 June 2009
Last Update Date
3 January 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
7113166844
Group Practice PAC ID
7911810171
Professional Enrollment ID
I20240315002610
Address ID
CA930031651VE300XXAVEX300

Contacts

Secure Messaging
kelly.swade@ventura.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:17State licenses:3Other namesUpdated within 12 months

13,237 FAMILY PRACTICE in CA

Provider Addresses for DR. KELLY MARIE SWADE (D.O)

  • 2310, Holmes Street, Hospital Hill, Kansas City, Jackson County, Missouri, 64108, United States

    STE 800

    KANSAS CITY, MO 641082602

    Phone:

    Type: Mailing

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone: (310) 301-8707

    Type: Mailing

  • 6633 TELEPHONE RD STE 212

    VENTURA, CA 930035569

    Phone: (310) 301-8860

    Type: Location

  • 7900 LEES SUMMIT RD

    KANSAS CITY, MO 641391236

    Phone: (816) 404-7650

    Type: Location

  • 407 S Clairborne Rd Ste 104

    Olathe, KS 660621744

    Phone: (913) 393-9921

    Type: Location

  • 7900 Lees Summit Rd

    Kansas City, MO 641391236

    Phone: (816) 404-7650

    Type: Location

  • 606 S Hardy Ave

    Independence, MO 640531827

    Phone: (816) 404-5770

    Type: Location

  • 104, South Clairborne Road, Olathe, Johnson County, Kansas, 66062, United States

    OLATHE, KS 660621744

    Phone: (913) 393-9921

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151223001738IFamily PracticeMOTBD
I20240315002610IFamily PracticeCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7029$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2929$0
99238Hospital discharge day management, 30 minutes or less1616$0
View full utilization report →

Insurance plans in this area (ZIP 64108)

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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: 7911810171View full group profile
NameSpecialtyState
-CA
-CA
Family PracticeCA
-CA
Orthopedic SurgeryCA
-CA
N E U R O S U R G E R YNY
Family PracticeCA
Family PracticeMA
Anesthesiology, Critical Care (Intensivists), Internal MedicineCA

Reviews

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Frequently asked questions

Is there an official ID for DR. KELLY MARIE SWADE (D.O) in U.S. healthcare records?
The official identifier for DR. KELLY MARIE SWADE (D.O) is NPI 1457587602.
Is there an active status for DR. KELLY MARIE SWADE (D.O)?
For scheduling context, DR. KELLY MARIE SWADE (D.O) is shown as active in the registry.
What expertise is attributed to DR. KELLY MARIE SWADE (D.O)?
DR. KELLY MARIE SWADE (D.O)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Missouri is DR. KELLY MARIE SWADE (D.O) registered?
Use Kansas City, Missouri as the headline location for DR. KELLY MARIE SWADE (D.O) here.
When was this NPI issued?
Enumeration for DR. KELLY MARIE SWADE (D.O) is noted as June 2, 2009 where the registry provides it.

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