Kathryn D. Kelly, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0076087 Issued in MD

Legal business name

KATHRYN D. KELLY, MD, PC

Practice address

10801 Lockwood Dr
Suite 210
Silver Spring, MD 20901-1556

Phone

(301) 298-1040

Fax

(844) 288-6896

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kathryn Delores Garrett Kelly, MDNPI 1649447228

Title

Owner

Phone

(202) 549-9557

Specialties & licenses 2

Addresses

Other names 1

• Kelly Collaborative Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16404/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Delores Garrett Kelly, MD

  • Internal Medicine Physician
  • Silver Spring, MD
  • NPI 1649447228

  DC

  Medicare reassignment NPD Authorized official
• Karen Aquino Tolosa, NP

  • Acute Care Nurse Practitioner
  • Silver Spring, MD
  • NPI 1477083905
  NPD (past)

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1639521966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-298-1040",
            "fax_number": "844-288-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10801 LOCKWOOD DR",
            "address_2": "SUITE 210",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209011556",
            "telephone_number": "301-298-1040",
            "fax_number": "844-288-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN D. KELLY, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "DELORES GARRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-549-9557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0076087",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kelly Collaborative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariam Kone Kassi, HHA
• Michel N Kassi, HHA
• Addis Geremew Kassie, MD
• Alex Kassuwi, HHA
• Hetal Kathrotiya-Mago, DPM
• Kathy Mahalati
• Mari Katsumi, M.AC., L.AC.
• Karl Radley Katterjohn, P.A.
• Kaufman & Zinsmeister, M.D., P.a.
• Kaufman and Zinsmeister, M.D., P.a.

• Internal Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.