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

Peter Douglas Kelly, MD

Individual provider Diagnostic Radiology Physician · NPI 1770649071

Peter Douglas Kelly, MD is a Diagnostic Radiology in South San Francisco, California. Graduated from University of South Carolina School of Medicine in 2001, 25 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California and Pennsylvania.

Years since qualifying
25
Trained at
University of South Carolina School of Medicine
Licensed in
CA, PA
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

1200 El Camino Real Fl 1
South San Francisco, CA 94080-3208
Phone: (650) 742-3264
Show map & directions

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

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A84618 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence A84618 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence MD429717 (PA)

Record details

NPI number1770649071
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2006
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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