Kelly Jo Kaufman-Green, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101240772 Issued in VA

Practice address

5249 Duke St Ste 5
Alexandria, VA 22304

Phone

(703) 751-2616

Fax

(703) 370-8275

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelly Jo Wolfe Former name

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Medical University of South Carolina College of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John E Gibson, M.D., Joseph H. Kaufman, M.D.,LTDGroup PAC ID 0345375374, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John E Gibson, M.D., Joseph H. Kaufman, M.D.,LTD

  • Dermatology Physician
  • Alexandria, VA
  • NPI 1679603385

  DC

  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1033261003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST STE 5",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042907",
            "telephone_number": "703-751-2616",
            "fax_number": "703-370-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 DUKE ST STE 5",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22304",
            "telephone_number": "703-751-2616",
            "fax_number": "703-370-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN-GREEN",
        "first_name": "KELLY",
        "middle_name": "JO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101240772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WOLFE",
            "middle_name": "JO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabrielle Katz, LCSW
• Leah Elizabeth Katz, PA-C
• Jay E. Katzen, M.D.
• Ellen Beth Katzer
• Stephen C Kauffman, M.D.
• Katherine Leah Kaufman, OTR/L
• Keith A Kaufman, PHD
• Kristopher Jon Kaufman, M.D.
• Hanna Leigh Kavalsky, M.S., CF-SLP
• Kavana Behavioral Health LLC

• Dermatology Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.