Samuel Kelly
NPI 1013542372ActiveIndividual· Anesthesiologist Assistant· Waco, TX
Anesthesiologist Assistant with Cleveland Clinic, practicing in Waco, Texas. Medicare paid $5,676 for services to 73 patients in 2024. Lists Euclid Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1013542372 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 6, 2020 |
| Last updated in NPPES | Jan 27, 2022 |
| Certified by provider | Jan 27, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 32697602 | TX |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Anesthesiology Assistant (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 74 across 24 procedure codes |
| Paid by Medicare | $5,676 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Medical group
- Cleveland ClinicCleveland, OH · 7,090 clinicians
Hospital affiliations
- Euclid HospitalEuclid, OH
- Hillcrest HospitalMayfield Heights, OH
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