Kelly Elizabeth Mortell, M.D.
Vascular & Interventional Radiology Physician · South Bend, IN
Kelly Elizabeth Mortell, M.D. is a vascular & interventional radiology physician with a practice address in South Bend, Indiana, and NPI 1841434354, issued on Apr 28, 2009. Check the license (Indiana 01075131A, as entered in NPPES) on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Kelly Elizabeth Mortell
- Credential
- M.D.
- Primary taxonomy
- Vascular & Interventional Radiology Physician 2085R0204X
- License number
- 01075131A IN
Self-reported in NPPES; status is on the state search - Practice location
- 621 Memorial Dr, South Bend, IN 46601
- Phone
- (574) 647-5200
- Enumerated
- Apr 28, 2009
- Record last updated
- Dec 6, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicaid ID
- 201289120 IN
- Medicare enrollment
- Enrolled (PECOS I20150518001622); accepts Medicare assignment
- Medical or professional school
- Indiana University School Of Medicine, 2009
- Entity
- Type 1 · individual
Also registered at 621 Memorial Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- William Anderson, MDSurgery Physician1194177451
- David Clayton, M.D.Family Medicine Physician1912988460
- Edward Delle Donne, MDColon & Rectal Surgery Physician1053398123
- Gerard Duprat, MDVascular & Interventional Radiology Physician1780679225
- George Friend, M.D.Vascular Surgery Physician1215914452
- Ruta Gandhi, MDOtolaryngic Allergy Physician1801825336
Verify Kelly Elizabeth Mortell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of Indiana
Search for license 01075131ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 96.2 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Imaging Associates OF Indiana, PCCarmel, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Vascular & Interventional Radiology Physician providers in Indiana
There are 78 vascular & interventional radiology physician records in Indiana.
Other vascular & interventional radiology physician records in Indiana
- David Agarwal, M.D.Indianapolis, IN1255373395
- Mahmoud Ali, M.DIndianapolis, IN1538518766
- Mohammad Ali, M.D.Mishawaka, IN1679759898
- Amjad Alkadri, MDValparaiso, IN1407817513
- Hashim Armashi, DOIndianapolis, IN1164981791
- Yaser Baghdadi, MD MSCIndianapolis, IN1962884700
- Omar Barakat, M.D.Valparaiso, IN1114190782
- Eric Beckley, MDIndianapolis, IN1710276936
- Garrett Bennett, M.D.Fort Wayne, IN1174884431
- Sameer Bhatia, MDLafayette, IN1477507416
Common questions
What is Kelly Elizabeth Mortell, M.D.'s NPI number?
Kelly Elizabeth Mortell, M.D.'s National Provider Identifier (NPI) is 1841434354, issued on Apr 28, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Elizabeth Mortell, M.D. located?
The NPPES record lists a practice address at 621 Memorial Dr, South Bend, IN, 46601. Phone: (574) 647-5200. Providers update this record themselves, so call before visiting.
How can I verify Kelly Elizabeth Mortell, M.D.'s license?
NPPES lists Indiana license number 01075131A, as entered by the provider. Search the Medical Licensing Board of Indiana at https://www.in.gov/pla/professions/physicians-home/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Kelly Elizabeth Mortell, M.D.'s MIPS final score?
The 2023 MIPS final score is 96.2 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.