Individual provider Active NPI

Megan Kelly, MD

  • Obstetrics & Gynecology Physician
  • Burien, WA
National Provider Identifier
1184666018
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00035361 Issued in WA
Practice address
16122 8TH Ave SW
Suite E-5
Burien, WA 98166-2967
Phone
(206) 241-0824
Fax
(206) 243-8002
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD00035361 WA Primary

Addresses

Primary practice location

16122 8TH Ave SW
Suite E-5
Burien, WA 98166-2967

Mailing address

PO Box 34936
Dept # 5006
Seattle, WA 98124-1936
Phone (206) 439-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20060307000312 WA Practitioner - Obstetrics/Gynecology 4981611589 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrix Medical Group of Washington Inc PS Obstetrics & Gynecology CurrentSince Dec 9, 2013 Accepting new patients
Swedish Health Services Obstetrics & Gynecology CurrentSince Sep 1, 2015 Accepting new patients
Swedish Health Services Past Accepting new patients
Seattle Nuclear Medicine-Ultrasound Associates Past Accepting new patients
Highline Medical Group Inc Obstetrics & Gynecology Past Accepting new patients
Highline Medical Group Obstetrics & Gynecology Past Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

770 The City Dr S
Ste 4000
Orange, CA 92868
Phone (800) 463-6628

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

1229 Madison St
Ste 1150
Seattle, WA 98104
Phone (206) 386-2101

5350 Tallman Ave NW
Ste 420
Seattle, WA 98107
Phone (206) 781-6080

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332720000000",
    "number": "1184666018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34936",
            "address_2": "DEPT # 5006",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241936",
            "telephone_number": "206-439-2988",
            "fax_number": "206-431-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16122 8TH AVE SW",
            "address_2": "SUITE E-5",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981662967",
            "telephone_number": "206-241-0824",
            "fax_number": "206-243-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MEGAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2012-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00035361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.