SEAN PATRICK KELLEHER (M.D.) – Pediatric Radiology Physician, NPI 1871835926

SEAN PATRICK KELLEHER (M.D.) is a healthcare provider. based in Toledo, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 35.133516 (OH). The NPI Number for SEAN PATRICK KELLEHER (M.D.) is 1871835926

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SEAN PATRICK KELLEHER (M.D.)
NPI
1871835926
Phone
(419) 251-1395
Address
2200 JEFFERSON AVE
Enumeration Date
26 March 2013
Last Update Date
7 August 2019

Doctor Profile

Medical School Name
TOLEDO MEDICAL COLLEGE
Secondary Phone
9376413888
Graduation Year
2013 (13 years ago)
PAC ID
2567763709
Group Practice PAC ID
8224136601
Professional Enrollment ID
I20190829003010
Address ID
OH454040000DA1XXXXPLAZ300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,805 DIAGNOSTIC RADIOLOGY in OH

Provider Addresses for SEAN PATRICK KELLEHER (M.D.)

  • 2200 JEFFERSON AVE

    TOLEDO, OH 436047101

    Phone: (419) 251-1395

    Fax: (419) 242-9806

    Type: Mailing

  • 1 CHILDRENS PLZ

    DAYTON, OH 454041873

    Phone: (937) 641-3888

    Type: Location

  • 2200 Jefferson Ave

    Toledo, OH 436047101

    Phone: (419) 251-1395

    Fax: (419) 242-9806

    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: 2019-08-29

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
I20190829003010IDiagnostic RadiologyOHTBD

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 43604)

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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: 8224136601View full group profile
NameSpecialtyState
Diagnostic RadiologyIN
Diagnostic RadiologyIN
-IN
-IN
Diagnostic RadiologyIN
Diagnostic RadiologyME
Pediatric MedicineOH
Diagnostic RadiologyOH
Diagnostic RadiologyMI

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Frequently asked questions

What is the 10-digit NPI for SEAN PATRICK KELLEHER (M.D.)?
SEAN PATRICK KELLEHER (M.D.) — NPI 1871835926 — is the standard way to identify this listing.
Is SEAN PATRICK KELLEHER (M.D.) still practicing?
SEAN PATRICK KELLEHER (M.D.) is currently listed as active in the public NPI registry.
What is SEAN PATRICK KELLEHER (M.D.) best known for clinically?
Directory data describes SEAN PATRICK KELLEHER (M.D.) with Pediatric Radiology Physician. Clinical services aligned with this taxonomy classification.
Where is SEAN PATRICK KELLEHER (M.D.) based?
SEAN PATRICK KELLEHER (M.D.) is tied to Toledo, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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