MICHAEL LEE KELLEY (DO) – Emergency Medicine Physician, NPI 1326085002

MICHAEL LEE KELLEY (DO) is a healthcare provider. based in Hudson, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. 34008057K (OH). The NPI Number for MICHAEL LEE KELLEY (DO) is 1326085002

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL LEE KELLEY (DO)
NPI
1326085002
Phone
Not provided
Address
554 MEADOWRIDGE WAY
Enumeration Date
1 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2164442200
Graduation Year
2000 (26 years ago)
PAC ID
7618941840
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20040824000405
Address ID
OH441950001CL9500XAVEX300
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

2,674 EMERGENCY MEDICINE in OH

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Provider Addresses for MICHAEL LEE KELLEY (DO)

  • 554 MEADOWRIDGE WAY

    HUDSON, OH 442361182

    Phone:

    Type: Mailing

  • 20000, Harvard Avenue, Warrensville Heights, Cuyahoga County, Ohio, 44122, United States

    WARRENSVILLE HEIGHTS, OH 441226805

    Phone: (216) 491-6000

    Type: Location

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: 2004-08-24

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
I20040824000405IEmergency 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making144133$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only124107$0
99291Critical care, first 30-74 minutes3735$0
99284Emergency department visit with moderate level of medical decision making2424$0
View full utilization report →

Insurance plans in this area (ZIP 44236)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I use this page to confirm MICHAEL LEE KELLEY (DO)'s NPI?
Yes. MICHAEL LEE KELLEY (DO) is listed with NPI 1326085002 in the public NPI dataset.
Can I rely on MICHAEL LEE KELLEY (DO) being an active provider?
As of the registry snapshot, MICHAEL LEE KELLEY (DO) is marked active.
What is MICHAEL LEE KELLEY (DO)'s primary classification?
Emergency Medicine Physician is the headline specialty for MICHAEL LEE KELLEY (DO) here. Clinical services aligned with this taxonomy classification.
Where should I expect MICHAEL LEE KELLEY (DO) on a map?
Expect Hudson, Ohio as a primary anchor for MICHAEL LEE KELLEY (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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