Michael Kelly, MD
NPI 1912981010ActiveIndividual· Pathology, Clinical Pathology/Laboratory Medicine· Ferndale, MI
Pathology, Clinical Pathology/Laboratory Medicine (MD) in Ferndale, Michigan, trained at Wayne State University School of Medicine (class of 1990). Medicare paid $25,847 for services to 442 patients in 2024.
Overview
| NPI | 1912981010 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 1, 2005 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pathology, Clinical Pathology/Laboratory Medicine Primary | 207ZP0105X | 86418 | WI |
| Pathology, Anatomic Pathology & Clinical Pathology | 207ZP0102X | 4301065795 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pathology (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 442 |
|---|---|
| Services billed | 1,068 across 21 procedure codes |
| Paid by Medicare | $25,847 |
Education and affiliations
| Medical school | Wayne State University School of Medicine |
|---|---|
| Graduation year | 1990 |
| Medicare specialty | Pathology |
Medical groups
- Legacy Path LLCKalamazoo, MI · 17 clinicians
- South Bend Medical Foundation IncKalamazoo, MI · 15 clinicians
- Langston Walker and Associates, P.C.Warren, MI · 5 clinicians
Hospital affiliations
- Henry Ford Health St John HospitalDetroit, MI
- Henry Ford Health Warren HospitalWarren, MI
- University of Wi Hospitals & Clinics AuthorityMadison, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records