DR. MICHAEL KELLY (MD) – Clinical Pathology/Laboratory Medicine Physician, NPI 1912981010

DR. MICHAEL KELLY (MD) is a healthcare provider. based in Toledo, Ohio. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 86418 (WI). The NPI Number for DR. MICHAEL KELLY (MD) is 1912981010

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL KELLY (MD)
NPI
1912981010
Phone
(313) 499-3000
Address
5700 SOUTHWYCK BLVD
Enumeration Date
1 December 2005
Last Update Date
20 March 2026

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
0547320764
Professional Enrollment ID
I20251203000663
Address ID
WI535625531Mi7974XCTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

573 PATHOLOGY in MI

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Provider Addresses for DR. MICHAEL KELLY (MD)

  • 5700, Southwyck Boulevard, Southwyck, Toledo, Lucas County, Ohio, 43614, United States

    TOLEDO, OH 436141509

    Phone: (313) 499-3000

    Type: Mailing

  • 7733, East Jefferson Avenue, West Village, Detroit, Wayne County, Michigan, 48214, United States

    DETROIT, MI 482143707

    Phone: (313) 499-3000

    Type: Location

  • 600 HIGHLAND AVE

    MADISON, WI 537920001

    Phone: (608) 263-8443

    Type: Location

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • 1933 HYLAND ST

    FERNDALE, MI 482203803

    Phone:

    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: 2025-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081118000620IPathologyMITBD
I20251203000663IPathologyWITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity646393$0
88341Special stained specimen slides to examine tissue, each additional procedure14235$0
88304Pathology examination of tissue using a microscope, moderately low complexity10284$0
88342Special stained specimen slides to examine tissue, initial procedure9078$0
88112Cell examination of specimen, selective cellular enhancement technique8976$0
View full utilization report →

Insurance plans in this area (ZIP 43614)

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Provider's Procedures

DR. MICHAEL KELLY (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMI88312Special stained specimen slides to identify organisms including interpretation and report3321
PATHOLOGYMI88342Tissue or cell analysis by immunologic technique148131

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Frequently asked questions

What is the registry number for DR. MICHAEL KELLY (MD)?
The registry entry for DR. MICHAEL KELLY (MD) shows NPI 1912981010.
Should I treat DR. MICHAEL KELLY (MD) as an active provider?
Patients and plans typically see DR. MICHAEL KELLY (MD) as active in the national extract.
What does the directory say DR. MICHAEL KELLY (MD) does?
Insurance directories may phrase it differently, but here DR. MICHAEL KELLY (MD) maps to Clinical Pathology/Laboratory Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL KELLY (MD) tied to Toledo, Ohio?
If you are local to Toledo, Ohio, DR. MICHAEL KELLY (MD) may be relevant to your search.
Can I export DR. MICHAEL KELLY (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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