Peter Douglas Kelly, MD in South San Francisco, CA

Peter Douglas Kelly, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in South San Francisco, California. He went to University Of South Carolina School Of Medicine and graduated in 2001 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 1200 El Camino Real Fl 1, South San Francisco, California. You can reach out to his office (for appointments etc.) via phone at (650) 742-3264.

Peter Douglas Kelly is licensed to practice in California (license number A84618) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770649071.

Contact Information

	Peter Douglas Kelly, MD
	1200 El Camino Real Fl 1, South San Francisco, CA 94080-3208
	(650) 742-3264
	Not Available

Map and Direction

Physician's Profile

Full Name	Peter Douglas Kelly
Gender	Male
Speciality	Diagnostic Radiology
Experience	24 Years
Location	1200 El Camino Real Fl 1, South San Francisco, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Peter Douglas Kelly attended and graduated from University Of South Carolina School Of Medicine in 2001

NPI Data:

NPI Number: 1770649071
Provider Enumeration Date: 12/29/2006
Last Update Date: 05/08/2025

Medicare PECOS Information:

PECOS PAC ID: 1153412887
Enrollment ID: I20100520000744

Medical Identifiers

Medical identifiers for Peter Douglas Kelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770649071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A84618 (California)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	MD429717 (Pennsylvania)	Secondary
2085R0204X	Radiology - Vascular & Interventional Radiology	A84618 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital - South San Francisco	South san francisco, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8867

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. Peter Douglas Kelly allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Peter Douglas Kelly 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 Address	Practice Location Address
Peter Douglas Kelly, MD 1200 El Camino Real Fl 1, South San Francisco, CA 94080-3208 Ph: (650) 742-3264	Peter Douglas Kelly, MD 1200 El Camino Real Fl 1, South San Francisco, CA 94080-3208 Ph: (650) 742-3264

Reviews and Comments

Radiology Doctors in South San Francisco, CA

Dr. Pierson Chiou, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, 1st Floor, Department Of Radiology, South San Francisco, CA 94080 Phone: 650-742-3882
David L. Klein, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Dr. Laura Ellen Millender, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 850-742-2000
Michael J. Duh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Amita Bhandari, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Gloria J. Chang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-742-2000
Milan Dilip Patel, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 El Camino Real, South San Francisco, CA 94080 Phone: 650-827-6500

Peter Douglas Kelly, MD - Medicare Diagnostic Radiology in South San Francisco, CA