THOMAS J KELLY MD NPI 1760421432

NPI Information

  • NPI: 1760421432
  • Provider Name: THOMAS J KELLY, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11234 ANDERSON ST STE B623
    LOMA LINDA, CA
    ZIP 92354
  • Phone: (909) 558-4000

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NPI Details

Thomas J Kelly, MD is a diagnostic radiology radiology in Loma Linda, CA with 39 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Thomas J Kelly, MD NPI is 1760421432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11234 ANDERSON ST STE B623
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-4000
Fax: (909) 558-3905

The NPI 1760421432 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan head or brain without contrast (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Ct scan of blood vessels of head with contrast (HCPCS:70496)
  • Ct scan of blood vessels of neck with contrast (HCPCS:70498)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ct scan of lower spine without contrast (HCPCS:72131)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • Ct scan of face without contrast (HCPCS:70486)
  • 3d radiographic procedure (HCPCS:76376)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
  • Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Single contrast x-ray of esophagus (HCPCS:74220)
  • Ct scan of pelvis without contrast (HCPCS:72192)
  • Imaging for evaluation of swallowing function (HCPCS:74230)
  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Ct scan of abdomen before and after contrast (HCPCS:74170)
  • Ct scan of middle spine without contrast (HCPCS:72128)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
  • Ct scan of leg without contrast (HCPCS:73700)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Single contrast x-ray of upper digestive tract (HCPCS:74240)
  • 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of blood vessels of abdomen with contrast (HCPCS:74175)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Ct scan of arm without contrast (HCPCS:73200)

The enumeration date for this NPI number is 6/6/2006 and was last updated on 8/28/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyMA53386NEW JERSEYYes
22085R0202XRadiologyDiagnostic RadiologyG073741CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11760421432MEDICAIDCALIFORNIA
25519004MEDICAIDNEW JERSEY
3P01603268OTHERCALIFORNIARAILROAD
4F49717MEDICARE UPINNEW JERSEY
5KE746563MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
6CB249740MEDICARE PINCALIFORNIA
710540392OTHERCALIFORNIAIHG/HEALTHSMART

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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