Kelly O'Donnell, MD

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

D0042645 Issued in MD

Practice address

166 Defense Hwy
Suite 101
Annapolis, MD 21401-8919

Phone

(410) 224-3390

Fax

(410) 224-3370

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

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

General PracticeAlso: Anesthesiology

Education

University of Maryland School of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vein and Wellness Group, LLCGroup PAC ID 4486794443, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.78 of 100Reported as individual

Quality

85.56

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kodonnell@vams.streamlinemddirect.com

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.

• Vein and Wellness Group, LLC

  • Multi-Specialty Clinic/Center
  • Annapolis, MD
  • NPI 1306172309

  Phlebology

  Medicare reassignment Care Compare group NPD Authorized official
• Annapolis Surgery Pavilion, LLC.

  • Ambulatory Surgical Clinic/Center
  • Annapolis, MD
  • NPI 1619324068
  NPD (past)
• Center for Vein Restoration MD LLC

  • Vascular Surgery Physician
  • Greenbelt, MD
  • NPI 1487772349
  NPD (past)
• Vein and Wellness Group, LLC

  • Multi-Specialty Clinic/Center
  • Easton, MD
  • NPI 1366243172

  Phlebology

  NPD (past)
• Washington Hospital Center Corp

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1265452635
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1619997772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY STE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018921",
            "telephone_number": "410-224-3390",
            "fax_number": "410-224-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 DEFENSE HWY",
            "address_2": "SUITE 101",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018919",
            "telephone_number": "410-224-3390",
            "fax_number": "410-224-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 Idlewild Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "MD",
            "postal_code": "216014099",
            "country_code": "US",
            "telephone_number": "410-224-3390",
            "fax_number": "410-224-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "MD32654",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MD",
            "license": "D0042645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027449600",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA MEDICAID",
            "identifier": "5711193",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "566739",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "7016224",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "212103",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "3058246001",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234501301",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "0113",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "2561122",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "441777",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Anne O'Connell (Jordan), M.D.
• Chelsea Ray O'Connell, NURSE PRACTITIONER
• Christine Frances O'Connor, MA CCC SLP
• Edward G O'Connor Jr., M.D.
• Hayley Jessica O'Connor
• Kieran Eoin O'Donnell
• Kevin Mitchell O'Donnoghue, DPT
• Erin O'Keeffe
• Emily C O'Meara, O.D.
• Patricia Plan O'Neill, MD

• Phlebology Physician in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Phlebology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.