DR. ROBERT B KELLY (M.D.) – Family Medicine Physician, NPI 1497863039

DR. ROBERT B KELLY (M.D.) is a healthcare provider. based in Lakewood, Ohio. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 35048873 (OH). The NPI Number for DR. ROBERT B KELLY (M.D.) is 1497863039

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROBERT B KELLY (M.D.)
NPI
1497863039
Phone
(216) 237-5500
Address
14601 DETROIT RD FL 2
Enumeration Date
25 August 2006
Last Update Date
13 September 2018

Doctor Profile

Medical School Name
UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Secondary Phone
2164448530
Graduation Year
1980 (46 years ago)
PAC ID
7315136728
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20110114000641
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,431 FAMILY PRACTICE in OH

Provider Addresses for DR. ROBERT B KELLY (M.D.)

  • 14601 DETROIT RD FL 2

    LAKEWOOD, OH 44107

    Phone: (216) 237-5500

    Fax: (216) 237-5670

    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)

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: 2011-01-14

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
I20110114000641IFamily PracticeOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 44107)

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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

What number should I use to identify DR. ROBERT B KELLY (M.D.) for billing?
Administrative and clinical systems typically use NPI 1497863039 for DR. ROBERT B KELLY (M.D.).
Quick check: is DR. ROBERT B KELLY (M.D.) active?
Public NPPES data shows DR. ROBERT B KELLY (M.D.) with an active NPI status right now.
What does the directory say DR. ROBERT B KELLY (M.D.) does?
Insurance directories may phrase it differently, but here DR. ROBERT B KELLY (M.D.) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. ROBERT B KELLY (M.D.) tied to Lakewood, Ohio?
If you are local to Lakewood, Ohio, DR. ROBERT B KELLY (M.D.) may be relevant to your search.
Can I export DR. ROBERT B KELLY (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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