Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154348753 Individual Practitioner Male Practitioner

David C Kelly , PA

Physician Assistant • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

David Kelly, PA is a registered healthcare professional specializing in Physician Assistant in Fort Worth, TX. Practice services are available at BEN HOGAN CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Ben Hogan Center
800 5th Ave., Suite 410

Fort Worth, TX 76104

Telephone 8173326092
Fax 8173326015
Associated Practice Facility / Clinic
🏢 Texas Health Care, P.l.l.c. Facility NPI 1477628873

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
604 Specialists

Practicing in Fort Worth, TX (11140 Statewide)

Telehealth Adoption Rate
13.2% 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA02492

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
181681101 (TX)
Commercial Insurance / Payer ID Railroad Medicare
P00416662

Practice Associates & Co-Workers

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

10 Associated Practitioners
Dr. Thomas Ratino , MD

Pain Medicine - Interventional Pain Medicine

NPI 1104030782

Doctor of Medicine (M.D.)

Nancy Wilkerson , RN

Registered Nurse - Registered Nurse First Assistant

NPI 1144392093

Registered Nurse

Dr. Tim Ratino , MD

Pain Medicine - Interventional Pain Medicine

NPI 1154574044

Doctor of Medicine (M.D.)

Vandana Mall , AGNP

Nurse Practitioner

NPI 1306344791

Adult-Gerontology Nurse Practitioner

Katie Erickson , FNP

Nurse Practitioner - Family

NPI 1326287665

Family Nurse Practitioner

Dr. Paul Grant , MD

Pain Medicine - Interventional Pain Medicine

NPI 1427068477

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 February 18, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2010

Registered at BEN HOGAN CENTER, 800 5TH AVE., SUITE 410, FORT WORTH, TX 76104 (Tel: 8173326092)

📍
Updated Business Mailing Address February 18, 2010

Registered at PO BOX 961205, FORT WORTH, TX 761611205 (Tel: 8177408400)

👤
Provider Name / Credentials Updated February 18, 2010

Recorded as DAVID KELLY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2010

Physician Assistant (License #PA02492 in TX)

🟢
Initial NPI Registration & Enumeration July 17, 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: 1154348753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: February 18, 2010
Sole Proprietor: No

Mailing Address

Po Box 961205

Fort Worth, TX 761611205

Phone: 8177408400

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.