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

Timothy Stephen Kelly, MD

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1073140497

Timothy Stephen Kelly, MD is an Emergency Medicine in Philadelphia, Pennsylvania. Graduated from University of Washington School of Medicine in 2020, 6 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
6
Trained at
University of Washington School of Medicine
Licensed in
PA
In the registry since
2020
Specialties on file
2
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

700 Spruce Street Pne Bsmt West
Philadelphia, PA 19106-4022
Phone: (215) 829-3358
Fax: (215) 829-3438
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD484814 (PA)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence MD484814 (PA)

Record details

NPI number1073140497
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 25, 2020
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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