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Jason Lincoln Kelly

Male

Medical Specialty

Diagnostic Radiology

Professional ID

NPI: 1659324473
PECOS ID: 4385635606
Enrollment ID: I20040524000964
Credential(MD, DO, DPM): MD
Medical School: Cornell University Medical College
Medical School Graduation Year: 1997

Hospital Service

Hospital CCN1: 060034
Business Name (LBN)1: Swedish Medical Center
Hospital CCN2: 060100
Business Name (LBN)2: Medical Center Of Aurora, The

Medical Practices

Organization Name: Radiology Imaging Associates Pc
Group Practice ID assigned by PECOS: 2860391257
Number of Group Practice member: 111

Location

Address1: 10700 E Geddes Ave
Address2: Suite 200
City: Englewood
State: Colorado
Zip Code: 80112
Phone Number: (303)761-9190

Location

Address1: 4021 Ave B
Address2:
City: Scottsbluff
State: Nebraska
Zip Code: 69361
Phone Number:

Location

Address1: 75-5653 Kuakini Hwy 110
Address2:
City: Kailua Kona
State: Hawaii
Zip Code: 96740
Phone Number:

Medical Practices

Organization Name: Radiology Imaging Of Nebraska, Llc
Group Practice ID assigned by PECOS: 5597828269
Number of Group Practice member: 83

Location

Address1: 3911 Ave B
Address2:
City: Scottsbluff
State: Nebraska
Zip Code: 69361
Phone Number: (308)635-3033

Location

Address1: 4021 Ave B
Address2:
City: Scottsbluff
State: Nebraska
Zip Code: 69361
Phone Number: (308)635-3711

Location

Address1: 75-5653 Kuakini Hwy 110
Address2:
City: Kailua Kona
State: Hawaii
Zip Code: 96740
Phone Number: (808)329-7314

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
Used Electronic health record (EHR):