William M. Kelly M.D., Inc.
NPI 1891969960ActiveOrganization· Specialist· Temecula, CA
Specialist in Temecula, California, registered in NPPES in April 2008, part of William M. Kelly M.D., Inc. The authorized official on file is Melonie Storer, Credentialing Administrator.
Overview
| NPI | 1891969960 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | William M. Kelly M.D., Inc. |
| NPI issued | Apr 18, 2008 |
| Last updated in NPPES | Jan 13, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | A34125 | CA |
| Radiology, Diagnostic Neuroimaging | 2085D0003X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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