MR. JOHN P KELLY (MD) – Hematology & Oncology Physician, NPI 1477512234

MR. JOHN P KELLY (MD) is a healthcare provider. based in Carson city, Nevada. specializing in MEDICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. 6376 (NV). The NPI Number for MR. JOHN P KELLY (MD) is 1477512234

Main info

Male
47 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOHN P KELLY (MD)
NPI
1477512234
Phone
(775) 882-0430
Address
PO BOX 4540
Enumeration Date
21 March 2006
Last Update Date
18 September 2014

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
7754457170
Graduation Year
1979 (47 years ago)
PAC ID
4183609019
Group Practice PAC ID
1153479027
Professional Enrollment ID
I20040625000087
Address ID
NV897061682CA2874XSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

28 MEDICAL ONCOLOGY in NV

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Provider Addresses for MR. JOHN P KELLY (MD)

  • Carson City Post Office, 1111, South Roop Street, Nevada Department of Transportation, Carson City, Nevada, 89701, United States

    CARSON CITY, NV 897024540

    Phone: (775) 882-0430

    Fax: (775) 852-6902

    Type: Mailing

  • Medical Parkway, Carson City, Nevada, 89703, United States

    STE B

    CARSON CITY, NV 897034654

    Phone: (775) 445-7960

    Fax: (775) 883-3395

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 213 Open Payments records for all available years, with a total value of $4,620.

Total Amount is formed as General ($4,620) + Research ($0) + Ownership ($0) = $4,620.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($348).

Total Amount

$4,620

General + Research + Ownership

Payments

213

Total payment records

General Amount

$4,620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2004-06-25

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
I20040625000087IMedical OncologyNVTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes769477$0
99204New patient office or other outpatient visit, 45-59 minutes124124$0
99213Established patient office or other outpatient visit, 20-29 minutes100100$0
99205New patient office or other outpatient visit, 60-74 minutes6060$0
99215Established patient office or other outpatient visit, 40-54 minutes5549$0
View full utilization report →

Insurance plans in this area (ZIP 89702)

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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: 1153479027View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)NV
-NV
U R O L O G YCA
Cardiovascular Disease (Cardiology), Internal MedicineNV
-NV
Physician AssistantCA
Family PracticeNV
Physician AssistantNV
Physician AssistantMT
-NV

Reviews

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Frequently asked questions

What federal number belongs to MR. JOHN P KELLY (MD)?
The federal identifier for MR. JOHN P KELLY (MD) is NPI 1477512234.
Does this profile mean MR. JOHN P KELLY (MD) is currently active?
Yes — MR. JOHN P KELLY (MD) appears active in the national provider directory.
Can you summarize MR. JOHN P KELLY (MD)'s specialty in plain language?
Clinically, the directory lists MR. JOHN P KELLY (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Does MR. JOHN P KELLY (MD) practice in Nevada?
You will see Carson City, Nevada on file for MR. JOHN P KELLY (MD) alongside any extra practice locations.
How can I contact MR. JOHN P KELLY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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