PETER DOUGLAS KELLY MD NPI 1770649071

NPI Information

  • NPI: 1770649071
  • Provider Name: PETER DOUGLAS KELLY, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1200 EL CAMINO REAL FL 1
    SOUTH SAN FRANCISCO, CA
    ZIP 94080
  • Phone: (650) 742-3264

Map and Directions

Get Directions

NPI Details

Peter Douglas Kelly, MD is a vascular and interventional radiology radiology in South San Francisco, CA with 24 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. Peter Douglas Kelly, MD NPI is 1770649071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

1200 EL CAMINO REAL FL 1
SOUTH SAN FRANCISCO, CA
ZIP 94080-208
Phone: (650) 742-3264

The NPI 1770649071 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.

  • Varicose vein removal (HCPCS:NAN08)

The enumeration date for this NPI number is 12/29/2006 and was last updated on 5/8/2025.

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 RadiologyA84618CALIFORNIANo
22085R0204XRadiologyVascular & Interventional RadiologyMD429717PENNSYLVANIANo
32085R0204XRadiologyVascular & Interventional RadiologyA84618CALIFORNIAYes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI