Mr James Patrick Kelly, MD, MBA is a
Thoracic Surgery (cardiothoracic Vascular Surgery) physician based in Granger, Indiana. Mr James Patrick Kelly is licensed to practice in Indiana (license number 1034778A) and his current practice location is 17022 Shandwick Lane, Granger, Indiana. He can be reached at his office (for appointments etc.) via phone at
(574) 277-9156.
NPI number for Mr James Patrick Kelly is 1174608442 and his current mailing address is 17022 Shandwick Lane, Granger, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174608442.
Physician's Profile
| Full Name | Mr James Patrick Kelly |
|---|
| Gender | Male |
|---|
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
|---|
| Location | 17022 Shandwick Lane, Granger, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1174608442
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 01/15/2016
Medical Identifiers
Medical identifiers for Mr James Patrick Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174608442 | NPI | - | NPPES |
| 100193010A | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01034778 (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 1034778A (Indiana) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr James Patrick Kelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr James Patrick Kelly, MD, MBA
17022 Shandwick Lane,
Granger, IN 46530
Ph: (574) 277-9156 | Mr James Patrick Kelly, MD, MBA
17022 Shandwick Lane,
Granger, IN 46530
Ph: (574) 277-9156 |
Reviews and Comments