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

Dr. Kelly Carlson, MD

Individual provider Internal Medicine Physician · NPI 1538424601

Dr. Kelly Carlson, MD is a Cardiovascular Disease (Cardiology) in Kokomo, Indiana. Graduated from Loyola University of Chicago, Stritch School of Medicine in 2012, 14 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Indiana and Missouri.

Years since qualifying
14
Trained at
Loyola University of Chicago, Stritch School of Medicine
Licensed in
IL, IN, MO
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2030 W Blvd
Kokomo, IN 46902-6079
Phone: (765) 454-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7447 W Talcott Ave Ste 200, Chicago, IL 60631-3713 — (773) 774-5020

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 01076541A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01076541A (IN)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036151894 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence 2014009027 (MO)

Record details

NPI number1538424601
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2012
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolLOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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