Mark Kim Kelly, M.D
Diagnostic Radiology Physician · Fort Wayne, IN
Mark Kim Kelly, M.D is a diagnostic radiology physician with a practice address in Fort Wayne, Indiana, and NPI 1639300932, issued on Aug 4, 2009. Check the license on the Medical Licensing Board of Indiana; the Medicare figures below come from public CMS files.
- Name
- Mark Kim Kelly
- Credential
- M.D
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License number
- 4301095025 MI
Self-reported in NPPES; status is on the state search - Practice location
- 3707 New Vision Dr, Fort Wayne, IN 46845
- Phone
- (248) 787-4905
- Enumerated
- Aug 4, 2009
- Record last updated
- Jan 27, 2016 (not updated in 10 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20150601000133); accepts Medicare assignment
- Medical or professional school
- Wayne State University School Of Medicine, 2009
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 779 in Indiana → Look up another NPI →
Also registered at 3707 New Vision Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jeffrey Bessette, M.D.Diagnostic Radiology Physician1871559302
- Jeffrey Birn, M.D.Diagnostic Radiology Physician1588828909
- Lokender Bommisetty, MDDiagnostic Radiology Physician1225260342
- Melissa Bosma, MDDiagnostic Radiology Physician1053549956
- Carla Brumbaugh, M.D.Diagnostic Radiology Physician1144271370
- Christopher Carrel, MDDiagnostic Radiology Physician1023041571
Verify Mark Kim Kelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMedical Licensing Board of IndianaCheck 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): 77.2 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
- Fort Wayne Radiology Associates LLCFort Wayne, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Kim Kelly among 779 diagnostic radiology physician records in Indiana
Mark Kim Kelly, M.D is one of 779 diagnostic radiology physician records with a practice address in Indiana. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 75% of them.
- NPI issued2009 · 75% of these records are older, 22% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 68% of these records are
- Graduated2009 · median 2002 among the 533 with a school on file
- Record last updated2016 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Diagnostic Radiology Physician providers in Indiana
There are 779 diagnostic radiology physician records in Indiana.
All 779 in Indiana → Every provider in Fort Wayne → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Jeffrey Bessette, M.D.Fort Wayne, IN 468451871559302
- Jeffrey Birn, M.D.Fort Wayne, IN 468451588828909
- Carla Brumbaugh, M.D.Fort Wayne, IN 468451144271370
- Christopher Carrel, MDFort Wayne, IN 468451023041571
- Adam Gregory, M.D.Fort Wayne, IN 468451194926493
- Jon Harman, M.D.Fort Wayne, IN 468451396791521
- Jay Jones, MDFort Wayne, IN 468451902870033
- Marc Kaminsky, M.D.Fort Wayne, IN 468451215989397
Common questions
What is Mark Kim Kelly, M.D's NPI number?
Mark Kim Kelly, M.D's National Provider Identifier (NPI) is 1639300932, issued on Aug 4, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Mark Kim Kelly, M.D located?
The NPPES record lists a practice address at 3707 New Vision Dr, Fort Wayne, IN, 46845. Phone: (248) 787-4905. Providers update this record themselves, so call before visiting.
How can I verify Mark Kim Kelly, M.D's license?
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 Mark Kim Kelly, M.D's MIPS final score?
The 2023 MIPS final score is 77.2 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.