Individual provider Active NPI

Ursula Marta Kelly, MD

  • Infectious Disease Physician
  • Norfolk, VA
National Provider Identifier
1205099322
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101247897 Issued in VA
Practice address
301 Riverview Ave Ste 710
Norfolk, VA 23510-1065
Phone
(757) 252-9040
Fax
(757) 252-9041
NPI assigned
Jul 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 01080020A IN
Infectious Disease Physician 207RI0200X 0101247897 VA Primary

Addresses

Primary practice location

301 Riverview Ave Ste 710
Norfolk, VA 23510-1065

Mailing address

301 Riverview Ave Ste 710
Norfolk, VA 23510-1065
Phone (757) 252-9040

Other practice location 1

825 Fairfax Ave
Suite 572
Norfolk, VA 23507-1914
Phone (757) 446-8999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20101117001173 VA Practitioner - Infectious DiseasePractitioner - Internal Medicine 7517152408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Medical University of South Carolina College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians

Practice addresses (Care Compare)

301 Riverview Ave
Suite 700
Norfolk, VA 23510-1065
Phone (757) 252-9365

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101247897VAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialist in Infectious Diseases, LLC Infectious Disease CurrentSince Feb 1, 2020 Accepting new patients
Sentara Medical Group CurrentSince Dec 18, 2018 Accepting new patients

Locations

301 Riverview Ave
Ste 710
Norfolk, VA 23510
Phone (757) 252-9010

600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

301 Riverview Ave
Ste 700
Norfolk, VA 23510
Phone (757) 252-9365

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

Interoperability endpoints

  • Direct secure messaging: ukelly32957@direct.sentara.net

Organizations & group practices 2

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1205099322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 710",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101065",
            "telephone_number": "757-252-9040",
            "fax_number": "757-252-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 710",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101065",
            "telephone_number": "757-252-9040",
            "fax_number": "757-252-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Fairfax Ave",
            "address_2": "Suite 572",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071914",
            "country_code": "US",
            "telephone_number": "757-446-8999",
            "fax_number": "757-446-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "URSULA",
        "middle_name": "MARTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-09",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IN",
            "license": "01080020A",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101247897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.