NPIMap

Organization Active NPI

Kim a Kelly, M.D., P.C.

Doing business as Kim Kelly Peds

  • Urgent Care Clinic/Center
  • Suitland, MD
National Provider Identifier
1508685413
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KIM A KELLY, M.D., P.C.
Doing business as
Kim Kelly Peds
Practice address
5873 Allentown Rd
Suitland, MD 20746-4570
Phone
(301) 702-2003
Fax
(301) 702-2324
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KIM A KELLY, M.D., P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Dona Bowie
Title
Office Manager
Phone
(301) 751-0090

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

5873 Allentown Rd
Suitland, MD 20746-4570

Mailing address

5875 Allentown Rd
Suitland, MD 20746-4570
Phone (301) 702-2003

Other names 1

  • Kim Kelly Peds Doing business as

National Provider Directory

National Provider Directory
Part of
Kim a Kelly MD PC

Locations

5873 Allentown Rd
Suitland, MD 20746
Phone (301) 702-2003

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9428/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1508685413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5875 ALLENTOWN RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464570",
            "telephone_number": "301-702-2003",
            "fax_number": "301-702-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5873 ALLENTOWN RD",
            "city": "SUITLAND",
            "state": "MD",
            "postal_code": "207464570",
            "telephone_number": "301-702-2003",
            "fax_number": "301-702-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM A KELLY, M.D., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIM A KELLY, M.D., P.C.",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "BOWIE",
        "authorized_official_first_name": "DONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-751-0090"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kim Kelly Peds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suitland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.