DR. KELLY ANDRE JARRETT (M.D.) – Family Medicine Physician, NPI 1124339080
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,711 FAMILY PRACTICE in NY
Provider Addresses for DR. KELLY ANDRE JARRETT (M.D.)
2006 Madison Ave
New York, NY 100351217
Phone: (212) 633-0815
Type: Location
PO BOX 746087
ATLANTA, GA 303746087
Phone: (312) 733-9730
Type: Mailing
455 SUTTER AVE
BROOKLYN, NY 112128111
Phone: (718) 765-6550
Fax: (347) 620-9739
Type: Location
2006 MADISON AVE
NEW YORK, NY 100351217
Phone: (212) 633-0815
Type: Mailing
234 E 149TH ST
BRONX, NY 104515504
Phone: (718) 579-5000
Type: Mailing
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: 2016-03-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160303000208 | I | Family Practice | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 37 | 17 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 14 | 14 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 10035)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NY | |
| Internal Medicine | NY | |
| Family Practice, Osteopathic Manipulative Medicine | NJ | |
| Nurse Practitioner | NY | |
| Clinical Social Worker | GA | |
| E N D O C R I N O L O G Y | GA | |
| Family Practice | NY | |
| Family Practice | NY | |
| Family Practice | GA | |
| Nurse Practitioner | GA |
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