NPIMap

Individual provider Active NPI

Kamilah Michelle Kelly, MD

  • Emergency Medicine Physician
  • Elkridge, MD
National Provider Identifier
1144254814
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D0062823 Issued in MD
Practice address
7377 Washington Blvd
Suite 101
Elkridge, MD 21075-6360
Phone
(410) 379-3051
Fax
(410) 379-3074
NPI assigned
Jul 10, 2006
Last updated
Dec 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0062823 MD Primary

Addresses

Primary practice location

7377 Washington Blvd
Suite 101
Elkridge, MD 21075-6360

Mailing address

7377 Washington Blvd
Concentra Medical Center
Elkridge, MD 21075-6360
Phone (410) 379-3051

Other names 1

  • Mrs. Kamilah Michelle Gilmore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050906000995 DC Practitioner - Emergency Medicine 0840222378 Reassigns benefits to 3 organizations
I20100120000111 MD Practitioner - Emergency Medicine 0840222378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0062823MDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA Current Accepting new patients
MNR Industries LLC Current Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries LLC CurrentSince Dec 6, 2016 Accepting new patients
MNR Industries, LLC Current Accepting new patients
American Current Care, PA. CurrentSince Aug 27, 2019 Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2015 Accepting new patients
MNR Industries, LLC CurrentSince Nov 1, 2015 Accepting new patients
Steven Remsen, MD PA Emergency Medicine Past Accepting new patients
Greater Washington Emergency Physicians Chartered Past Accepting new patients

Locations

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

6000 Laurel Bowie Rd
Bowie, MD 20715
Phone (301) 383-0330

9141 Alaking Ct
Ste 112
Capitol Heights, MD 20743
Phone (301) 499-4655

4451 Parliament Pl
Ste G
Lanham, MD 20706
Phone (301) 459-9113

504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452

Organizations & group practices 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1144254814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7377 WASHINGTON BLVD",
            "address_2": "CONCENTRA MEDICAL CENTER",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756360",
            "telephone_number": "410-379-3051",
            "fax_number": "410-379-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7377 WASHINGTON BLVD",
            "address_2": "SUITE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756360",
            "telephone_number": "410-379-3051",
            "fax_number": "410-379-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "KAMILAH",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0062823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAMILAH",
            "last_name": "GILMORE",
            "middle_name": "MICHELLE",
            "prefix": "MRS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elkridge, MD

Sources for this page

Verify at the official NPI Registry.