KELLEY A KIRWAN (M.D.) – Pediatrics Physician, NPI 1154391324

KELLEY A KIRWAN (M.D.) is a healthcare provider. based in Cincinnati, Ohio. specializing in PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35058018 (OH). The NPI Number for KELLEY A KIRWAN (M.D.) is 1154391324

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
KELLEY A KIRWAN (M.D.)
NPI
1154391324
Phone
(513) 231-3345
Address
7655 5 MILE RD
Enumeration Date
23 January 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
5132313345
Graduation Year
1986 (40 years ago)
PAC ID
6901216647
Group Practice PAC ID
1355523358
Professional Enrollment ID
I20201106002476
Address ID
OH452552801CI7502XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,710 PEDIATRIC MEDICINE in OH

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Provider Addresses for KELLEY A KIRWAN (M.D.)

  • Two Mile Road, California, Cincinnati, Hamilton County, Ohio, 45228, United States

    SUITE 101

    CINCINNATI, OH 452304326

    Phone: (513) 231-3345

    Fax: (513) 624-2588

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $51.

Total Amount is formed as General ($51) + Research ($0) + Ownership ($0) = $51.

Last reported payment date: 2024-01-29 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($51).

Total Amount

$51

General + Research + Ownership

Payments

1

Total payment records

General Amount

$51

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-29

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: 2020-11-06

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
I20201106002476IPediatric MedicineOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45230)

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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: 1355523358View full group profile
NameSpecialtyState
Pediatric MedicineOH

Reviews

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Frequently asked questions

What is KELLEY A KIRWAN (M.D.)'s NPI number?
KELLEY A KIRWAN (M.D.)'s NPI is 1154391324 — the number used across U.S. healthcare to identify this provider.
Is there an active status for KELLEY A KIRWAN (M.D.)?
For scheduling context, KELLEY A KIRWAN (M.D.) is shown as active in the registry.
What kind of doctor is KELLEY A KIRWAN (M.D.)?
KELLEY A KIRWAN (M.D.) is associated with Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with KELLEY A KIRWAN (M.D.)?
Directory geography for KELLEY A KIRWAN (M.D.) centers on Cincinnati, Ohio.
When was this NPI issued?
Enumeration for KELLEY A KIRWAN (M.D.) is noted as January 23, 2006 where the registry provides it.

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