JOHN STEPHEN KELLEY (MD) – Obstetrics & Gynecology Physician, NPI 1063414555

JOHN STEPHEN KELLEY (MD) is a healthcare provider. based in Las vegas, Nevada. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 5539 (NV). The NPI Number for JOHN STEPHEN KELLEY (MD) is 1063414555

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
JOHN STEPHEN KELLEY (MD)
NPI
1063414555
Phone
(702) 438-4692
Address
517 ROSE ST
Enumeration Date
15 August 2005
Last Update Date
17 November 2022

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7024384692
Graduation Year
1983 (43 years ago)
PAC ID
0749280832
Group Practice PAC ID
4082845664
Professional Enrollment ID
I20081219000448
Address ID
NV891064020LA517XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

339 OBSTETRICS/GYNECOLOGY in NV

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Provider Addresses for JOHN STEPHEN KELLEY (MD)

  • 517, Rose Street, Las Vegas, Clark County, Nevada, 89106, United States

    LAS VEGAS, NV 891064020

    Phone: (702) 438-4692

    Fax: (702) 485-2372

    Type: Location

  • 7160 SMOKE RANCH RD

    LAS VEGAS, NV 891283208

    Phone: (702) 508-4096

    Fax: (702) 268-8179

    Type: Location

  • 8906 SPANISH RIDGE AVE STE 202

    LAS VEGAS, NV 891481319

    Phone: (702) 330-3102

    Fax: (702) 912-4994

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $371.

Total Amount is formed as General ($371) + Research ($0) + Ownership ($0) = $371.

Last reported payment date: 2024-07-24 • Largest payer in this snapshot: Astellas Pharma US Inc ($114).

Total Amount

$371

General + Research + Ownership

Payments

16

Total payment records

General Amount

$371

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-24

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: 2008-12-19

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
I20081219000448IObstetrics/GynecologyNVTBD

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
Q0091Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory3333$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination3232$0
99213Established patient office or other outpatient visit, 20-29 minutes2823$0
87480Detection test for candida species (yeast), direct probe technique1312$0
87510Detection test for gardnerella vaginalis (bacteria), direct probe technique1312$0
View full utilization report →

Insurance plans in this area (ZIP 89106)

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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: 4082845664View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNV
-NV
O B S T E T R I C S/ G Y N E C O L O G YNV
Physician AssistantNV
-NV
Nurse PractitionerNV
O B S T E T R I C S/ G Y N E C O L O G YNV
O B S T E T R I C S/ G Y N E C O L O G YNV
Nurse PractitionerNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What NPI should I save for JOHN STEPHEN KELLEY (MD)?
Save NPI 1063414555 if you need a stable reference for JOHN STEPHEN KELLEY (MD).
Is JOHN STEPHEN KELLEY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOHN STEPHEN KELLEY (MD) list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for JOHN STEPHEN KELLEY (MD). Clinical services aligned with this taxonomy classification.
Does JOHN STEPHEN KELLEY (MD) practice in Nevada?
You will see Las Vegas, Nevada on file for JOHN STEPHEN KELLEY (MD) alongside any extra practice locations.
How can I contact JOHN STEPHEN KELLEY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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