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

Dr. Teresa Gross Kelly, MD

Individual provider Diagnostic Radiology Physician · NPI 1275580672

Dr. Teresa Gross Kelly, MD is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from Stanford University School of Medicine in 1987, 39 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Michigan and Wisconsin.

Years since qualifying
39
Trained at
Stanford University School of Medicine
Licensed in
FL, MI, WI
In the registry since
2006
Specialties on file
3
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

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 — (414) 805-2060
  • 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 — (414) 266-1686

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301052060 (MI)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 52993 (WI)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence ME70684 (FL)

Record details

NPI number1275580672
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 30, 2006
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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