Kelly G Kilcoyne, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

D75966 Issued in MD

Practice address

127 Lubrano Dr Ste 202
Annapolis, MD 21401-7369

Phone

(410) 544-4263

Fax

(855) 394-3899

NPI assigned

Jul 5, 2007

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Orthopedic Surgery

Education

University of Maryland School of Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Annapolis Hand Center LLCGroup PAC ID 4183869415, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of MD Baltimore Washington Medical Center Hospital, Glen Burnie, MD, CCN 210043

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.kilcoyne.1@6305.direct.athenahealth.com
• Direct secure messaging: kelly.kilcoyne@direct.myhealthep.org

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.

• Annapolis Hand Center LLC

  • Orthopaedic Hand Surgery Physician
  • Annapolis, MD
  • NPI 1396093894

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Westminster, CO
  • NPI 1477239267
  NPD (past)
• Deming Hospital Corporation

  dba Mimbres Valley Medical Group

  • Rural Health Clinic/Center
  • Deming, NM
  • NPI 1134526221
  NPD (past)
• Deming Hospital Corporation

  dba Mimbres Memorial Hosp - Anest & Pain Mgt

  • Pain Medicine (Anesthesiology) Physician
  • Deming, NM
  • NPI 1386850519
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baltimore Washington Medical Center Inc.

  • General Acute Care Hospital
  • Glen Burnie, MD
  • NPI 1124016696
  Care Compare affiliation

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1467650077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 LUBRANO DR STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017369",
            "telephone_number": "410-544-4263",
            "fax_number": "855-394-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LUBRANO DR STE 202",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017369",
            "telephone_number": "410-544-4263",
            "fax_number": "855-394-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILCOYNE",
        "first_name": "KELLY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D75966",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MD",
            "license": "D75966",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamuka Khundadze, M.D.
• Lali Khurtsia, M.D.
• Kian Djawdan DMD PA
• Melissa Kibler, LCSW-C
• Tracie L Kidwell, OT
• Colleen Kiley, MS, RD, LDN, CDE
• Baran Kilical, M.D.
• Sandra Killian, PTA
• Dana Jean Kim, M.D.
• Miran Kim, O.D.

• Adult Reconstructive Orthopaedic Surgery Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.