William R Kelley Jr.


Address: 726 Old Suman Rd, Valparaiso, IN 46383-9716

William R Kelley Jr. (NPI# 1780666560, PAC ID# 7517860968) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1780666560
PAC ID by PECOS 7517860968
Professional Enrollment ID I20040202000057
Full Name William R Kelley Jr.
Address 726 Old Suman Rd
Valparaiso
IN 46383-9716
Gender M
Credential MD
Medical School INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1980
Primary Specialty DIAGNOSTIC RADIOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
030117 VALLEY VIEW MEDICAL CENTER
030101 WESTERN ARIZONA REGIONAL MEDICAL CENTER
290003 SUNRISE HOSPITAL AND MEDICAL CENTER
030069 HAVASU REGIONAL MEDICAL CENTER
051323 COLORADO RIVER MEDICAL CENTER

Other Locations

Address Phone Organization
1355 Ramar Rd, Suite 12, Bullhead City, AZ 86442-7100 9287049202 RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA PLC
2735 Silver Creek Rd, Bullhead City, AZ 86442-7924 9287632273 RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA PLC
1510 E Wagon Wheel Ln, Suite 110, Fort Mohave, AZ 86426-6698
726 Old Suman Rd, Valparaiso, IN 46383-9716
726 Old Suman Rd, Valparaiso, IN 46383-9716 9287887228 RADIOLOGIC ASSOCIATES OF NORTHWEST ARIZONA PLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_076_overall Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections 100%
MIPS_EC_076_overall Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_145_overall Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy 100%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 94%
MIPS_EC_195_overall Radiology: Stenosis Measurement in Carotid Imaging Reports 94%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 100%
MIPS_EC_225_overall Radiology: Reminder System for Screening Mammograms 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%
MIPS_EC_436_overall Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 100%

Organization Information

Office Location

Street Address 726 OLD SUMAN RD
City VALPARAISO
State IN
Zip 46383-9716

Physicians in the same zip code

Name Specialty Organization Address
Dale Beauvais Chiropractic 2600 Roosevelt Rd, Valparaiso, IN 46383-0970
Sarah Anne Tsagris Optometry Northwest Indiana Eye Associates PC 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665
Richard W Ireland Optometry Northwest Indiana Eye Associates PC 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665
Caterina A Komyatte Optometry Northwest Indiana Eye Associates PC 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665
Madonna L Grabos Physical Therapy Orthopedic Therapy Specialists, PC 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070
Bryan Onuselogu Physical Therapy Orthopedic Therapy Specialists, PC 3125 Calumet Ave, Suite 8, Valparaiso, IN 46383-2070
Hector Marchand Jr. Internal Medicine Porter Physician Services LLC 1231 Cumberland Xing, Valparaiso, IN 46383-2192
Helda Barakat Internal Medicine Porter Physician Services LLC 1231 Cumberland Xing, Valparaiso, IN 46383-2192
Amy L Petkus Optometry Myeyedr Optometry of Indiana LLC 3540 Calumet Ave, Valparaiso, IN 46383-2246
Anand P Popli Psychiatry 1904 Chandana Trl, Valparaiso, IN 46383-2290
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Competitor

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City VALPARAISO
Zip Code 46383
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty VALPARAISO + DIAGNOSTIC RADIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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