MICHAEL JOHN KELLEY (M.D.) – Diagnostic Radiology Physician, NPI 1700883154
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
269 INTERVENTIONAL RADIOLOGY in VA
Provider Addresses for MICHAEL JOHN KELLEY (M.D.)
213 S JEFFERSON ST STE 1006
ROANOKE, VA 240111713
Phone: (540) 224-5352
Type: Mailing
1906 BELLEVIEW AVE SE
ROANOKE, VA 240141838
Phone: (540) 981-7083
Type: Location
East Morehead Street, Uptown, Dilworth, Charlotte, Mecklenburg County, North Carolina, 28282, United States
CHARLOTTE, NC 282022742
Phone: (704) 334-7800
Fax: (704) 414-7512
Type: Location
700 E Morehead St Ste 300
Charlotte, NC 282022742
Phone: (704) 334-7800
Fax: (704) 414-7512
Type: Location
1701 East Blvd
Charlotte, NC 282035823
Phone: (704) 334-7800
Fax: (704) 414-7512
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: 2022-04-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050128000238 | I | Diagnostic Radiology | NC | TBD |
| I20150625001159 | I | Diagnostic Radiology | SC | TBD |
| I20220419003091 | I | Interventional Radiology | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 14 | 14 | $0 |
| 71046 | X-ray of chest, 2 views | 11 | 11 | $0 |
Insurance plans in this area (ZIP 24011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology, Interventional Radiology | KY | |
| Diagnostic Radiology, Nuclear Medicine | ND | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | VA | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | MN | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | NC |
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