Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jack Leslie Kelley, MD

Surgery Physician in Lafayette, IN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710956065

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Registry record

Entity type Individual (Type 1)

Name Jack Leslie Kelley

Credential MD

Sex Male

Practice address 1500 Salem St, Lafayette, IN, 47904

Phone (765) 448-8000

Fax (765) 448-8337

Enumeration date Mar 17, 2006

Last updated in NPPES Jul 23, 2012

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 01022437A (IN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
000000197818	Other	IN	ANTHEM PROVIDER NUMBER
KE80251002	Medicaid	IN	-
100230510	Medicaid	IN	-
10825369	Other	IN	CAQH NUMBER
9017025	Other	IN	PHCS PID NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jack Kelley?

Jack Kelley is registered in NPPES with the primary taxonomy of Surgery Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-23.