Individual provider Active NPI

Kelly McDonald Barbour, MD

  • Internal Medicine Physician
  • Midlothian, VA
National Provider Identifier
1801816079
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101054649 Issued in VA
Practice address
2410 Pagehurst Dr
Midlothian, VA 23113-6411
Phone
(804) 897-6140
Fax
(804) 897-6141
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101054649 VA Primary
Pediatrics Physician 208000000X 0101054649 VA

Addresses

Primary practice location

2410 Pagehurst Dr
Midlothian, VA 23113-6411

Mailing address

2410 Pagehurst Dr
Midlothian, VA 23113
Phone (804) 897-6140

Other names 1

  • Dr. Kelly Brandon McDonald Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20040323000299 VA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 2961393665 Reassigns benefits to 3 organizations
I20150519000820 DC Practitioner - Internal Medicine 2961393665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Virginia Commonwealth University, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101054649VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Internal Medicine CurrentSince Apr 30, 2015 Accepting new patients
CMH Physician Services, LLC CurrentSince Feb 12, 2017 Accepting new patients
CMH Physician Services, LLC Internal Medicine CurrentSince Feb 12, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Apr 30, 2015 Accepting new patients
MCV Associated Physicians Pediatrics CurrentSince Dec 26, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

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

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

200 E 5th St
Chase City, VA 23924
Phone (434) 372-0900

8644 Sudley Rd
#220
Manassas, VA 20110

2410 Pagehurst Dr
Midlothian, VA 23113
Phone (804) 897-6140

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1801816079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 PAGEHURST DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-897-6140",
            "fax_number": "804-897-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 PAGEHURST DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136411",
            "telephone_number": "804-897-6140",
            "fax_number": "804-897-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBOUR",
        "first_name": "KELLY",
        "middle_name": "MCDONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101054649",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101054649",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "MCDONALD",
            "middle_name": "BRANDON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.