Active NPI
Kelli Lynn Outlaw, MD
- Emergency Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D0085051
- Practice address
- 10 Nathan D Perlman PL
New York, NY 10003-3851 - Phone
- (212) 420-2000
- NPI assigned
- Mar 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 324916 | LA | |
| Emergency Medicine Physician | 207P00000X | D0085051 | MD | Primary |
Addresses
Primary practice location
10 Nathan D Perlman PL
New York, NY 10003-3851
Mailing address
901 Harry S Truman Dr N
Largo, MD 20774-5477
Phone (240) 461-8696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, LA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cross Lake Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Upper Chesapeake Emergency Medicine Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| WHC Emerg Phys | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| WHC Physician Group LLC | Current | Accepting new patients | |
| Mep Health, LLC | Emergency Medicine | Current | Accepting new patients |
| Memn Hospitalists, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000
15001 Health Center Dr
Bowie, MD 20716
Phone (301) 262-5511
3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200
29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300
901 Harry S Truman Dr N
Uppr Marlboro, MD 20774
Phone (240) 677-0021
11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1013497114
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Emergency Medicine Physician
- Rockville, MD
- NPI 1164483558
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
- Diagnostic Radiology Physician
- Washington, DC
- NPI 1578302055
-
- Emergency Medicine Physician
- Bel Air, MD
- NPI 1285854026
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, DC
- NPI 1306260625
-
- Emergency Medicine Physician
- Laurel, MD
- NPI 1295291029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705536000000",
"number": "1376937516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 HARRY S TRUMAN DR N",
"city": "LARGO",
"state": "MD",
"postal_code": "207745477",
"telephone_number": "240-461-8696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NATHAN D PERLMAN PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033851",
"telephone_number": "212-420-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTLAW",
"first_name": "KELLI",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2024-01-18",
"certification_date": "2024-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "324916",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "D0085051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.