Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David J Kelly, MD

Individual provider Family Medicine Physician · NPI 1194862417

David J Kelly, MD is a Family Practice in Eagle, Idaho. Qualified in 2003, 23 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Idaho, Oregon and Wisconsin.

Years since qualifying
23
Licensed in
ID, OR, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3217 W Bavaria St
Eagle, ID 83616-5171
Phone: (208) 302-6200
Fax: (208) 302-6255
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 929 Sw Simpson Ave, Bend, OR 97702-3118 — (541) 706-3804

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence M-17694 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD155014 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 47273 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence M-9938 (ID)

Record details

NPI number1194862417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing addressPo Box 190930, Boise, ID 83719-0930

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Eagle