Maria D. Kelly, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

0101044014 Issued in VA

Practice address

1230 Grove Park CT
Earlysville, VA 22936-2840

Phone

(434) 973-8057

NPI assigned

Feb 9, 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University of Virginia Physicians Group

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Charlottesville, VA
  • NPI 1033138250
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1194866434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 GROVE PARK CT",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229362840",
            "telephone_number": "434-973-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 GROVE PARK CT",
            "city": "EARLYSVILLE",
            "state": "VA",
            "postal_code": "229362840",
            "telephone_number": "434-973-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MARIA",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101044014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00300000962",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Gutierrez, MD
• Lina Ann Hines, RN, IBCLC
• Ashley Elizabeth Holden, COTA, PTA
• Hannah Michaele Huddleston, M.D.
• Jennifer Jamison
• Richard Lane
• Kimberly Linet Leckrone, MSW
• Leo Mallek, D.M.D.
• Alexandra McElroy
• Maggie Taylor McMullan

• Radiation Oncology Physician in Earlysville, VA
• Providers in Earlysville, VA by specialty
• Radiation Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.