Mark Kelly, M.D
NPI 1639300932 · Diagnostic Radiology Physician · Fort Wayne, IN
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Kelly, M.D is a Diagnostic Radiology Physician provider in Fort Wayne, IN (NPI 1639300932).
Provider details
- NPI number
- 1639300932
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 4301095025 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
6,283 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) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 860 | $8 |
| X-Ray of Chest, 2 Views71046 | 474 | $10 |
| Ct Scan Head Or Brain Without Contrast70450 | 470 | $37 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 426 | $80 |
| X-Ray of Abdomen, 1 View74018 | 289 | $8 |
| Ct Scan of Chest Without Contrast71250 | 250 | $47 |
| Ct Scan of Abdomen and Pelvis Without Contrast |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-04
- Last updated
- 2016-01-27
Frequently asked questions
- What is Mark Kelly's NPI number?
- Mark Kelly's National Provider Identifier (NPI) is 1639300932, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Kelly's specialty?
- Mark Kelly is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Kelly located?
- Mark Kelly's practice location on file with NPPES is 3707 New Vision Dr, Fort Wayne, IN 46845-1702.
- What is Mark Kelly's phone number?
- The practice phone number listed in the NPPES registry for Mark Kelly is (248) 787-4905.
- Does Mark Kelly accept Medicare?
- Mark Kelly is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Kelly's NPI active?
- Yes — Mark Kelly's NPI (1639300932) is active in the NPPES registry as of the last update on 2016-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.