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

Michael J Kellis, DO

Individual provider Sports Medicine (Internal Medicine) Physician · NPI 1831190313

Michael J Kellis, DO is a Sports Medicine in Chardon, Ohio. Graduated from Ohio University, College of Osteopathic Medicine in 1985, 41 years ago. Practices with Menorah Park Center for Senior Living, a 88-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
41
Trained at
Ohio University, College of Osteopathic Medicine
Licensed in
OH
In the registry since
2005
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.

See every abbreviation used in this directory →

Practice location Address checks out

150 Seventh Ave Ste 200
Chardon, OH 44024-2909
Phone: (440) 285-4999
Fax: (402) 855-8704
Show map & directions

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

Specialties & licences

Sports Medicine (Internal Medicine) Physician (primary) Taxonomy 207RS0010X · Licence 34004183 (OH)

Record details

NPI number1831190313
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 9, 2005
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing address6480 Harrison Ave Ste 201, Cincinnati, OH 45247-7961

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolOHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1985 (41 years in practice)
Group practice Menorah Park Center For Senior Living — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare