Grant Gordon Kelley, MD - Medicare Hospitalist in Syracuse, NY

Grant Gordon Kelley, MD is a medicare enrolled "Hospitalist" physician in Syracuse, New York. His current practice location is 301 Prospect Ave, Hospital Internists, Syracuse, New York. You can reach out to his office (for appointments etc.) via phone at (315) 448-5704.

Grant Gordon Kelley is licensed to practice in New York (license number 205703) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922259845.

Contact Information

Grant Gordon Kelley, MD
301 Prospect Ave, Hospital Internists,
Syracuse, NY 13203-1807
(315) 448-5704
(315) 423-6853

Map and Direction




Physician's Profile

Full NameGrant Gordon Kelley
GenderMale
SpecialityHospitalist
Location301 Prospect Ave, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922259845
  • Provider Enumeration Date: 10/09/2008
  • Last Update Date: 07/12/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3173676517
  • Enrollment ID: I20090731000498

Medical Identifiers

Medical identifiers for Grant Gordon Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922259845NPI-NPPES
01724529MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 205703 (New York)Primary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism 205703 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Grant Gordon Kelley allows following entities to bill medicare on his behalf.
Entity NameDepartment Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063468239
PECOS PAC ID: 3274445796
Enrollment ID: O20031104000051
Entity NameSt Joseph's Physician Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154376770
PECOS PAC ID: 9436041431
Enrollment ID: O20040325001159
Entity NameSt Josephs Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942501747
PECOS PAC ID: 4688855844
Enrollment ID: O20110221000744

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. Grant Gordon Kelley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grant Gordon Kelley, MD
301 Prospect Ave, Hospital Internists,
Syracuse, NY 13203-1807

Ph: (315) 448-5704
Grant Gordon Kelley, MD
301 Prospect Ave, Hospital Internists,
Syracuse, NY 13203-1807

Ph: (315) 448-5704

Reviews and Comments


Hospitalist Doctors in Syracuse, NY

Xianjin Yi, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 301 Prospect Ave, Hospital Internists, Syracuse, NY 13203
Phone: 315-448-5704    Fax: 315-423-6853
Aisha Khaliq, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-464-5910    
Amit S. Dhamoon, M.D., PH.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 750 E Adams St, Suny Upstate Medical University, Syracuse, NY 13210
Phone: 315-464-5774    Fax: 315-464-1937
Basel Abuzuaiter, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 251 Salina Meadows Parkway, Suite 100, Syracuse, NY 13212
Phone: 315-464-2000    Fax: 315-464-2010
Dinesh Subedi, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-464-5774    Fax: 315-464-1937
Manika Suryadevara, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-464-5450    Fax: 315-464-6322
Radhika Mehra, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 301 Prospect Ave, Hospitalist Office, Syracuse, NY 13203
Phone: 315-448-5704    Fax: 315-423-6853

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.