Marilyn S Kellam, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101036061 Issued in VA

Practice address

110 Kingsley LN
Suite 302
Norfolk, VA 23505-4614

Phone

(757) 345-2885

NPI assigned

Sep 14, 2005

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

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

Specialty

Internal Medicine

Education

Virginia Commonwealth University, School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SE Virginia Value Based Care LLCGroup PAC ID 6103288170, 160 clinicians

Mid-Atlantic Post Acute and Long Term Care PLLCGroup PAC ID 0648530782, 142 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Generations Home Health Home health agency, Virginia Beach, VA, CCN 497617
• Commonwealth Home Care Home health agency, Portsmouth, VA, CCN 497775
• Trinity Hospice LLC Hospice, Chesapeake, VA, CCN 491641
• Amedisys Hospice Care Hospice, Chesapeake, VA, CCN 491600
• Lake Taylor Hosp Nursing home, Norfolk, VA, CCN 495117

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mid-Atlantic Post Acute & Long Term Care PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225557556

  Internal Medicine, VA

  Medicare reassignment Care Compare group NPD
• SE Virginia Value Based Care, LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Norfolk, VA
  • NPI 1225720501

  VA

  Medicare reassignment Care Compare group NPD
• Eastern Shore Physicians & Surgeons,Inc

  • Internal Medicine Physician
  • Nassawadox, VA
  • NPI 1114956711

  Internal Medicine

  NPD

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

• American Home Healthcare

  • Home Health Agency
  • Chesapeake, VA
  • NPI 1386277648
  Care Compare affiliation
• Compassionate Care Hospice of the Chesapeake Bay, LLC

  • Community Based Hospice Care Agency
  • Chesapeake, VA
  • NPI 1447575733

  Hospice

  Care Compare affiliation
• Hospital Authority of Norfolk

  • Skilled Nursing Facility
  • Norfolk, VA
  • NPI 1336101039

  Nursing home

  Care Compare affiliation
• LHCG Cxcviii, LLC

  • Home Health Agency
  • Virginia Beach, VA
  • NPI 1063089316
  Care Compare affiliation
• Trinity Hospice 1, LLC

  • Community Based Hospice Care Agency
  • Chesapeake, VA
  • NPI 1386263499

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1497740641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "SUITE 302",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-345-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KINGSLEY LN",
            "address_2": "SUITE 302",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235054614",
            "telephone_number": "757-345-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLAM",
        "first_name": "MARILYN",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101036061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Mae Keener, DO
• Zachary Kegley
• Tyler Anderson Keith, MD
• Jessica Joy Kell, M.D.
• Anthony Kellam Jr.
• Brian Kelley
• Katrina L. Kelley, RDH
• Nathaniel Kelley, LPC
• Alison M. Kelly, CRNA
• Caitlin Kelly, LPC

• All providers in Norfolk, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.