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

James Patrick Kelly IV, DO

Individual provider Pediatrics Physician · NPI 1053940676

James Patrick Kelly IV, DO is a Pediatric Medicine in Indianapolis, Indiana. Graduated from Michigan State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with University Pediatricians, a 128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

705 Riley Hospital Dr RI-5837
Indianapolis, IN 46202
Phone: (317) 944-4034
Show map & directions

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

Additional practice locations (1)

  • 3901 Beaubien St, Detroit, MI 48201-2119 — (313) 745-5870

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 5101027387 (MI)

Record details

NPI number1053940676
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESMay 7, 2024
Certification dateJune 20, 2023

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Pediatricians — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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