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

Dr. Ian A Kellman, MD

Individual provider Body Imaging Physician · NPI 1023088382

Dr. Ian A Kellman, MD is a Diagnostic Radiology in Shaverton, Pennsylvania. Graduated from State University of Ny Upstate Medical University in 1966, 60 years ago. Practices with Kan-Di-Ki LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
60
Trained at
State University of Ny Upstate Medical University
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

625 Hampton Rd
Shaverton, PA 18708-9526
Phone: (570) 881-3354
Fax: (570) 696-0174
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD017470E (PA)
Body Imaging Physician Taxonomy 2085B0100X · Licence MD017470E (PA)

Record details

NPI number1023088382
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 26, 2006
Last updated in NPPESJune 13, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 1966 (60 years in practice)
Group practice Kan-Di-Ki Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount