KELLY L REED (DO) – Dermatology Physician, NPI 1053666370

KELLY L REED (DO) is a healthcare provider. based in Henderson, Nevada. specializing in MICROGRAPHIC DERMATOLOGIC SURGERY (MDS), DERMATOLOGY. They hold the professional credentials DO. They hold a License No. 20A15550 (CA). The NPI Number for KELLY L REED (DO) is 1053666370

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
KELLY L REED (DO)
NPI
1053666370
Phone
(702) 360-2763
Address
2285 CORPORATE CIR STE 200
Enumeration Date
24 July 2012
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
KANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Secondary Phone
8507353376
Graduation Year
2012 (14 years ago)
PAC ID
0345483137
Group Practice PAC ID
8325470727
Professional Enrollment ID
I20210301000462
Address ID
FL325614571GU30XXXCIRX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

117 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in CA

Provider Addresses for KELLY L REED (DO)

  • 2285 CORPORATE CIR STE 200

    HENDERSON, NV 890747759

    Phone: (702) 360-2763

    Fax: (949) 783-2880

    Type: Mailing

  • 4060 FOURTH AVE STE 415

    SAN DIEGO, CA 921032121

    Phone: (619) 298-9809

    Fax: (619) 298-9823

    Type: Location

  • 30 DANIEL CIR

    GULF BREEZE, FL 325614571

    Phone: (850) 735-3376

    Fax: (559) 201-1269

    Type: Mailing

  • 85 BAY BRIDGE DR

    GULF BREEZE, FL 325614468

    Phone: (850) 735-3376

    Fax: (559) 201-1269

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $1,286.

Total Amount is formed as General ($1,286) + Research ($0) + Ownership ($0) = $1,286.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($529).

Total Amount

$1,286

General + Research + Ownership

Payments

56

Total payment records

General Amount

$1,286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2021-03-01

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
I20210301000462IMicrographic Dermatologic Surgery (Mds)FLTBD

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
17003Destruction of precancer skin growth, 2-14 growths504102$0
99214Established patient office or other outpatient visit, 30-39 minutes384272$0
17000Destruction of precancer skin growth, 1 growth198146$0
11102Biopsy of related skin growth, first growth185142$0
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks158111$0
View full utilization report →

Insurance plans in this area (ZIP 89074)

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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: 8325470727View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerGA
Physician AssistantAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for KELLY L REED (DO)?
KELLY L REED (DO) — NPI 1053666370 — is the standard way to identify this listing.
Does CMS list KELLY L REED (DO) as active?
Yes — KELLY L REED (DO) is active in the NPI listing used on this page.
What is KELLY L REED (DO)'s primary classification?
Dermatology Physician is the headline specialty for KELLY L REED (DO) here. Clinical services aligned with this taxonomy classification.
Does KELLY L REED (DO) list a practice location?
Patients near Henderson, Nevada may find KELLY L REED (DO) in results; validate coverage separately.
Is the information about KELLY L REED (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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