Peter Kelly LLC
NPI 1407514193 · Family Medicine Physician · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Kelly LLC is a Family Medicine Physician organization in Philadelphia, PA (NPI 1407514193).
Provider details
- NPI number
- 1407514193
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Kelly, Owner(267) 223-0205
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Shamrock Medicine
- Doing business as
- Shamrock Medicine
Additional practice locations (2)
- 911 Kings Hwy SCherry Hill, NJ 08034-2522Phone: (856) 553-1355Fax: (267) 376-4874
- 812 N Bethlehem Pike Ste 207aLower Gwynedd, PA 19002-2642Phone: (215) 585-2342Fax: (267) 376-4874
Registry dates
- Enumerated
- 2021-11-30
- Last updated
- 2025-10-08
- Certified
- 2025-10-08
Frequently asked questions
- What is Peter Kelly LLC's NPI number?
- Peter Kelly LLC's National Provider Identifier (NPI) is 1407514193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peter Kelly LLC?
- Peter Kelly LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Peter Kelly LLC located?
- Peter Kelly LLC's practice location on file with NPPES is 407 S 10th St Ste 101, Philadelphia, PA 19147-1274.
- What is Peter Kelly LLC's phone number?
- The practice phone number listed in the NPPES registry for Peter Kelly LLC is (267) 223-0205.
- Does Peter Kelly LLC accept Medicare?
- Peter Kelly LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peter Kelly LLC?
- The authorized official listed on Peter Kelly LLC's NPPES record is Peter Kelly, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peter Kelly LLC's NPI active?
- Yes — Peter Kelly LLC's NPI (1407514193) is active in the NPPES registry as of the last update on 2025-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.