Richard L Kelly, M.D.
Internal Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1528068178
StatusActive
Last updated in NPPESApr 18, 2019
Details
- NPI
- 1528068178
- Entity type
- Individual (NPI-1)
- Name
- Richard L Kelly
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2005
- Last updated
- Apr 18, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 20150 | AZ | Yes |
Practice location
3815 E Bell RdSuite 4100
Phoenix, AZ 85032-2122
Phone 602-494-5040 · Fax 602-494-4020
Mailing address
3815 E Bell Rd Ste 2200Phoenix, AZ 85032-2139
Phone 602-633-3838 · Fax 602-633-3841
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