| Mr Timothy Joseph Kelly, MD | |
|
7165 Clearvista Way, Indianapolis, IN 46256-4621 | |
| (317) 621-5100 | |
| (317) 621-7896 |
| Full Name | Mr Timothy Joseph Kelly |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 46 Years |
| Location | 7165 Clearvista Way, Indianapolis, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730297748 | NPI | - | NPPES |
| 000000078852 | Other | IN | ANTHEM |
| 000000871759 | Other | IN | ANTHEM |
| 100333150 | Medicaid | IN | |
| 000000871726 | Other | IN | ANTHEM |
| 000000872285 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01028972 (Indiana) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 01028972 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital East | Indianapolis, IN | Hospital |
| Entity Name | Community Health Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336119478 PECOS PAC ID: 1850203977 Enrollment ID: O20031105000554 |
| Entity Name | Clearvista Recovery Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821281973 PECOS PAC ID: 4688750318 Enrollment ID: O20080320000637 |
| Entity Name | Community Physicians Of Indiana Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Timothy Joseph Kelly, MD 6626 E 75th Street, Ste 500, Indianapolis, IN 46250-2890 Ph: () - | Mr Timothy Joseph Kelly, MD 7165 Clearvista Way, Indianapolis, IN 46256-4621 Ph: (317) 621-5100 |
Irene A Carrothers, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-963-8776 Fax: 317-963-5285 | |
Liam P Howley, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1001 West 10th St Opw-m200, Indiana University Department Of Medicine, Indianapolis, IN 46202 Phone: 317-630-6560 | |
Dr. Satish Kenchaiah, MD, MPH Internal Medicine Medicare: Medicare Enrolled Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 317-988-4989 | |
Gretchen Suarez, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 W Michigan St, Indianapolis, IN 46202 Phone: 317-278-0042 Fax: 317-278-0027 | |
Cristina Nancy Perez Chumbiauca, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 University Blvd, Indianapolis, IN 46202 Phone: 317-944-5000 | |
Dr. Andrew Jonathen Ortega, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 702 Rotary Cir, Indianapolis, IN 46202 Phone: 317-278-4427 | |
Dr. Omair Ahmad Syed, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Eskenazi Ave # F2-600, Indianapolis, IN 46202 Phone: 317-278-5570 |