{"npi":"1669447850","type":"NPI-1","status":"active","name":{"display":"Dr. Peter Kelly MD","other":[],"first":"PETER","last":"KELLY","middle":"H","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"MN","license":"29590"},{"code":"208600000X","description":"Surgery","primary":true,"state":"MN","license":"29590"}]},"addresses":[{"purpose":"LOCATION","street_1":"310 SMITH AVE N","city":"SAINT PAUL","state":"MN","postal_code":"551022393","country_code":"US","phone":"9528434333","fax":"9528434301"},{"purpose":"MAILING","street_1":"310 SMITH AVE N","city":"SAINT PAUL","state":"MN","postal_code":"551022383","country_code":"US","phone":"9528434333","fax":"9528434301"}],"license":{"state":"MN","number":"29590"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"392777600","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050525001078","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"MN","pac_id":"0446163232"}]},"enumeration_date":"2006-02-21","last_updated":"2020-11-23","_meta":{"source":"NPPES","snapshot_date":"2020-11-23","doc_url":"https://findmynpi.com/api"}}