DR. KEVIN J KELLEY (M.D.) – Nephrology Physician, NPI 1982600979

DR. KEVIN J KELLEY (M.D.) is a healthcare provider. based in Canton, Ohio. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. KE4069601 (OH). The NPI Number for DR. KEVIN J KELLEY (M.D.) is 1982600979

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN J KELLEY (M.D.)
NPI
1982600979
Phone
(330) 649-9400
Address
4689 FULTON DR NW
Enumeration Date
23 June 2005
Last Update Date
27 July 2010

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3306499400
Graduation Year
1997 (29 years ago)
PAC ID
6800954124
Group Practice PAC ID
1951206085
Professional Enrollment ID
I20130211000554
Address ID
OH447086220CA4650XNWXX600
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

547 NEPHROLOGY in OH

Provider Addresses for DR. KEVIN J KELLEY (M.D.)

  • 4689 FULTON DR NW

    CANTON, OH 447182379

    Phone: (330) 649-9400

    Fax: (330) 649-8059

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2024-09-25 • Largest payer in this snapshot: Amgen Inc. ($27).

Total Amount

$194

General + Research + Ownership

Payments

13

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-25

Latest reported date

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: 2013-02-11

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
I20130211000554INephrologyOHTBD

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
99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes66445$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month41642$0
99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days37848$0
99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes37749$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes285124$0
View full utilization report →

Insurance plans in this area (ZIP 44718)

Loading plans...

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: 1951206085View full group profile
NameSpecialtyState
N E P H R O L O G YOH
-OH
Nephrology, Internal MedicineOH
-OH
N E P H R O L O G YOH
Internal Medicine, NephrologyOH
N E P H R O L O G YOH
Nephrology, Internal MedicineOH
Internal MedicineOH
Internal Medicine, NephrologyOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to DR. KEVIN J KELLEY (M.D.)?
The federal identifier for DR. KEVIN J KELLEY (M.D.) is NPI 1982600979.
Is DR. KEVIN J KELLEY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. KEVIN J KELLEY (M.D.) list a primary specialty?
If you are matching referrals, note Nephrology Physician for DR. KEVIN J KELLEY (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. KEVIN J KELLEY (M.D.)?
We surface Canton, Ohio for DR. KEVIN J KELLEY (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

JOHN R GARTON (MD)

Nephrology Physician
4650 HILLS AND DALES RD NW
NPI: 1821094210
4650 HILLS AND DALES RD NW
NPI: 1790781193

DR. LUIS F SOTO (M.D.)

Nephrology Physician
4689 FULTON DR NW
NPI: 1316943707

DR. JEHAD YUSEF ASFOURA (M.D.)

Nephrology Physician
4650 HILLS AND DALES RD NW
NPI: 1619973005

PRAMOD ANAND BHARGAVA (M.D.)

Nephrology Physician
46550 HILLS AND DALES RD NW
NPI: 1568450534

DR. P SURESH NUCHIKAT (MD)

Nephrology Physician
Tuscarawas Street West, Canton, Stark County, Ohio, 44708, United States
NPI: 1851382857

DR. JAMES MELVIN RAJAN (M.D.)

Nephrology Physician
4650 HILLS AND DALES RD NW
NPI: 1922047067
4650 HILLS AND DALES RD NW
NPI: 1770524696

RENAL CONSULTANT'S, INC

Nephrology Physician
2600, Tuscarawas Street West, Lincoln Heights, Canton, Stark County, Ohio, 44708, United States
NPI: 1770525289