DR. JAMES JOSEPH IV KELLEY (D.O.) – Urology Physician, NPI 1447646906

DR. JAMES JOSEPH IV KELLEY (D.O.) is a healthcare provider. based in Fort worth, Texas. specializing in UROLOGY. They hold the professional credentials D.O.. They hold a License No. S4991 (TX). The NPI Number for DR. JAMES JOSEPH IV KELLEY (D.O.) is 1447646906

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMES JOSEPH IV KELLEY (D.O.)
NPI
1447646906
Phone
(817) 871-9069
Address
2900 ACME BRICK PLZ
Enumeration Date
11 April 2015
Last Update Date
1 October 2020

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Secondary Phone
8178719069
Graduation Year
2015 (11 years ago)
PAC ID
3173830437
Group Practice PAC ID
6002076882
Professional Enrollment ID
I20200603002318
Address ID
TX761094123FO2900XPLZX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

861 UROLOGY in TX

Provider Addresses for DR. JAMES JOSEPH IV KELLEY (D.O.)

  • 2900 ACME BRICK PLZ

    FORT WORTH, TX 761094123

    Phone: (817) 871-9069

    Fax: (817) 871-9067

    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)

CMS reports 126 Open Payments records for all available years, with a total value of $5,220.

Total Amount is formed as General ($5,220) + Research ($0) + Ownership ($0) = $5,220.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Axonics, Inc. ($2,417).

Total Amount

$5,220

General + Research + Ownership

Payments

126

Total payment records

General Amount

$5,220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-06-03

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
I20200603002318IUrologyTXTBD

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
87798Detection test by nucleic acid for organism, amplified probe technique4,524198$0
87481Detection test for candida species (yeast), amplified probe technique1,740198$0
87801Detection test by nucleic acid for multiple organisms, amplified probe(s) technique1,044198$0
51798Ultrasound measurement of bladder capacity after voiding602354$0
81003Automated urinalysis test576349$0
View full utilization report →

Insurance plans in this area (ZIP 76109)

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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: 6002076882View full group profile
NameSpecialtyState
U R O L O G YNJ
U R O L O G YTX
Physician AssistantTX
Physician AssistantTX
U R O L O G YTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX
Physician AssistantTX
U R O L O G YTX

Reviews

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Frequently asked questions

What NPI should I save for DR. JAMES JOSEPH IV KELLEY (D.O.)?
Save NPI 1447646906 if you need a stable reference for DR. JAMES JOSEPH IV KELLEY (D.O.).
Does this profile mean DR. JAMES JOSEPH IV KELLEY (D.O.) is currently active?
Yes — DR. JAMES JOSEPH IV KELLEY (D.O.) appears active in the national provider directory.
Can you summarize DR. JAMES JOSEPH IV KELLEY (D.O.)'s specialty in plain language?
Clinically, the directory lists DR. JAMES JOSEPH IV KELLEY (D.O.) with Urology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. JAMES JOSEPH IV KELLEY (D.O.)'s primary listing?
We display Fort Worth, Texas because that is what the record indicates for DR. JAMES JOSEPH IV KELLEY (D.O.).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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