Individual provider Active NPI

Kathryn Delores Garrett Kelly, MD

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1649447228
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0076087 Issued in MD
Practice address
10801 Lockwood Dr
Suite 210
Silver Spring, MD 20901-1556
Phone
(301) 298-1040
Fax
(844) 288-6896
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 065580 GA
Internal Medicine Physician 207R00000X MD038654 DC
Internal Medicine Physician 207R00000X D0076087 MD Primary

Addresses

Primary practice location

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

Mailing address

10801 Lockwood Dr
Suite 210
Silver Spring, MD 20901-1556
Phone (301) 298-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101029000890 DC Practitioner - Internal Medicine 4587858980 Reassigns benefits to 3 organizations
I20141216001496 MD Practitioner - Internal Medicine 4587858980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

10801 Lockwood Dr
Suite 160
Silver Spring, MD 20901-1586
Phone (301) 298-1040

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
KCM Cares, Inc. Current Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Sep 30, 2019 Accepting new patients
Mdics at Meritus Medical Center, LLC CurrentSince Nov 1, 2014 Accepting new patients
Kathryn D. Kelly, MD, PC Internal Medicine CurrentSince Jul 8, 2016 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 30, 2019 Accepting new patients
Privia Care Center LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

4409 East West Hwy
Riverdale Park, MD 20737
Phone (301) 699-2000

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

10801 Lockwood Dr
Ste 210
Silver Spring, MD 20901
Phone (301) 298-1040

10801 Lockwood Dr
Ste 160
Silver Spring, MD 20901
Phone (301) 298-1040

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathryn.kelly.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16404/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kathryn.kelly.1@16404.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1649447228",
    "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": {
        "last_name": "KELLY",
        "first_name": "KATHRYN",
        "middle_name": "DELORES GARRETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "065580",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD038654",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0076087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.