KIM A KELLY, M.D., P.C.
NPI 1871957761
Prevention Professional in Suitland, MD
NPI Status: Active since April 07, 2016
Contact Information
5875 ALLENTOWN RD
SUITLAND, MD
ZIP 20746
Phone: (301) 702-2003
Fax: (301) 702-2324
- Organization
- Prevention Professional
About KIM A KELLY, M.D., P.C.
This page provides the complete NPI Profile along with additional information for Kim A Kelly, M.d., P.c., a provider established in Suitland, Maryland operating as a Prevention Professional. The healthcare provider is registered in the NPI registry with number 1871957761 assigned on April 2016. The practitioner's primary taxonomy code is 405300000X with license number D0039363 (MD). The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kim A Kelly Md (Owner)
- NPI
- 1871957761
- Provider Name
- KIM A KELLY, M.D., P.C.
- Entity Type
- Organization
- Location Address
- 5875 ALLENTOWN RD SUITLAND, MD 20746
- Location Phone
- (301) 702-2003
- Location Fax
- (301) 702-2324
- Mailing Address
- 5875 ALLENTOWN RD SUITLAND, MD 20746
- Mailing Phone
- (301) 702-2003
- Mailing Fax
- (301) 702-2324
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2016
- Last Update Date
- 05-04-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prevention Professional
- Taxonomy Code
- 405300000X
- Type
- Other Service Providers
- License No.
- D0039363
- License State
- MD
- Taxonomy Description
- Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 44400001 | OTHER (01) | MD | BLUE CHOICE |
| 048510100 | MEDICAID (05) | MD |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 7 | 1 | 9 | 5 | 7 | 7 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 14 | 1 | 18 | 5 | 14 | 7 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 4 + 1 + 1 + 8 + 5 + 1 + 4 + 7 + 1 + 2 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1871957761 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699848754 | DR. KIM ALEXZENIA KELLY - ROBINSON M.D. Individual | Pediatrics | 5875 ALLENTOWN RD SUITLAND, MD 20746 (301) 702-2003 |
| 1780771030 | MR. CURTIS ANNON JOHNSON JR. M.D. Individual | Pediatrics | 5875 ALLENTOWN RD SUITLAND, MD 20746 (301) 702-2003 |
| 1225664808 | MRS. NICOLE F ABRAHAM FNP Individual | Nurse Practitioner (Family) | 5875 ALLENTOWN RD SUITLAND, MD 20746 (301) 702-2003 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871957761, enumerated in the NPI registry as an "organization" on April 07, 2016
The provider is located at 5875 Allentown Rd Suitland, Md 20746 and the phone number is (301) 702-2003
This medical organization specializes in Prevention Professional with taxonomy code 405300000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on April 07, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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