Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669447850 Individual Practitioner Male Practitioner

Dr. Peter H Kelly , MD

Surgery • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kelly, MD is a registered healthcare professional specializing in Surgery in Saint Paul, MN. Practice services are available at 310 SMITH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 Smith Ave N

Saint Paul, MN 551022393

Telephone 9528434333
Fax 9528434301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
47 Specialists

Practicing in Saint Paul, MN (770 Statewide)

Telehealth Adoption Rate
8.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-23
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 29590

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Specialist

NUCC Taxonomy Code: 174400000X

State License MN 29590

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
392777600 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1063487643

Doctor of Medicine (M.D.)

Dr. Grace Khouri , MD

General Practice

NPI 1063489151

Doctor of Medicine (M.D.)

NPI 1073588653

Doctor of Medicine (M.D.)

NPI 1306810106

Doctor of Medicine (M.D.)

NPI 1306811070

Doctor of Medicine (M.D.)

NPI 1336113059

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 02, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2007

Registered at 310 SMITH AVE N, SAINT PAUL, MN 551022393 (Tel: 9528434333)

📍
Updated Business Mailing Address November 02, 2007

Registered at 310 SMITH AVE N, SAINT PAUL, MN 551022383 (Tel: 9528434333)

👤
Provider Name / Credentials Updated November 02, 2007

Recorded as PETER KELLY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2007

Specialist (License #29590 in MN)

🟢
Initial NPI Registration & Enumeration February 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669447850
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2006
Last Update: November 23, 2020
Sole Proprietor: No

Mailing Address

310 Smith Ave N

Saint Paul, MN 551022383

Phone: 9528434333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.