Kelly Broderick, M.D.
NPI 1609821891 · Diagnostic Radiology Physician · San Mateo, CA
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Broderick, M.D. is a Diagnostic Radiology Physician provider in San Mateo, CA (NPI 1609821891).
Provider details
- NPI number
- 1609821891
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- G78759 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
4,458 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Screening 3d Breast Mammography77063 | 746 | $33 |
| Screening Mammography77067 | 746 | $43 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 | 331 | $11 |
| X-Ray of Chest, 1 View71045 | 324 | $10 |
| Diagnostic Digital Breast Tomosynthesis, Unilateral Or Bilateral (list Separately in Addition to 77065 Or 77066)G0279 | 276 | $33 |
| Complete Ultrasound Scan of 1 Breast76641 | 270 | $59 |
Practice location
Mailing address
Additional practice locations (2)
- 1501 Trousdale DrBurlingame, CA 94010-4506Phone: (650) 696-5515Fax: (650) 696-5280
- 222 W 39th AveSan Mateo, CA 94403-4364Phone: (650) 573-2222Fax: (650) 573-2122
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2020-09-23
- Certified
- 2020-09-23
Frequently asked questions
- What is Kelly Broderick's NPI number?
- Kelly Broderick's National Provider Identifier (NPI) is 1609821891, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Broderick's specialty?
- Kelly Broderick is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kelly Broderick located?
- Kelly Broderick's practice location on file with NPPES is 100 S San Mateo Dr, San Mateo, CA 94401-3805.
- What is Kelly Broderick's phone number?
- The practice phone number listed in the NPPES registry for Kelly Broderick is (650) 696-4515.
- Does Kelly Broderick accept Medicare?
- Kelly Broderick is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Broderick's NPI active?
- Yes — Kelly Broderick's NPI (1609821891) is active in the NPPES registry as of the last update on 2020-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.