Individual provider Active NPI

Kelly Lynn Combs

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1730934571
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0010065 Issued in MD
Practice address
419 W Redwood St Ste 600
Baltimore, MD 21201-7000
Phone
(410) 328-2902
NPI assigned
Apr 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0010065 MD Primary

Addresses

Primary practice location

419 W Redwood St Ste 600
Baltimore, MD 21201-7000

Mailing address

240 Ambleside Dr Apt Suite
Severna Park, MD 21146-1220

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250807001849 MD Practitioner - Physician Assistant 6608374897 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-9044

419 W Redwood St
Umd Prof. Building Cardiology
Baltimore, MD 21201-1734
Phone (410) 328-5196

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Practices of Antietam LLC CurrentSince Jul 25, 2025 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Apr 13, 2026 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Apr 13, 2026 Accepting new patients
Meritus Medical Center Inc CurrentSince Jul 25, 2025 Accepting new patients
Meritus Medical Center Inc CurrentSince Jul 25, 2025 Accepting new patients

Locations

419 W Redwood St
Ste 600
Baltimore, MD 21201
Phone (410) 328-5196

419 W Redwood St
Bldg Cardiology
Baltimore, MD 21201
Phone (410) 328-5196

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

11110 Medical Campus Rd
Ste 143B
Hagerstown, MD 21742

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

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 6

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": "1713830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1730934571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 AMBLESIDE DR APT SUITE",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211461220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST STE 600",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017000",
            "telephone_number": "410-328-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-23",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0010065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.