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SHANNON MCCLURE KELLY MD
NPI 1053491787
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Washington, DC

Active since October 17, 2006PECOS Enrolled
111 MICHIGAN AVE NW, ORTHOPAEDIC SURGERY, WASHINGTON, DC 20010(202) 476-4063(202) 476-4613 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shannon Mcclure Kelly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MCCLURE KELLY MD (NPI 1053491787) is an individual pediatric orthopaedic surgery provider in Washington, District Of Columbia, licensed in District Of Columbia (MD034912) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053491787
Entity TypeIndividualFemale
Primary Taxonomy207XP3100X
Provider Legal NameSHANNON MCCLURE KELLYCredential: MD
Location Address111 MICHIGAN AVE NW, ORTHOPAEDIC SURGERYWashington, DC 20010-2978
Mailing Address111 Michigan Ave NwWashington, DC 20010-2978 · (202) 476-4063 · Fax (202) 476-4613
Phone(202) 476-4063
Fax(202) 476-4613
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 18, 2010
✔ NPI 1053491787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Pediatric Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XP3100X
License✔ Licensed in DC · MD034912
Definition
An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
111 MICHIGAN AVE NW, Washington, DC 20010
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Other Identifiers 1

Medicare UPINH02541

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Mcclure Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA BADILLO MD
Surgery
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-2451
DR. TALITA MICHELLE JORDAN MD
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
YUE-HIN LOKE MD
Pediatrics (Pediatric Cardiology)
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
ELSHADEY YAYEHYERADE BEKELE
Pediatrics
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (301) 565-4279
NOURA AL DHAHERI MD
Student in an Organized Health Care Education/Training Program
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
JIA LIU MD
Anesthesiology (Pediatric Anesthesiology)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-5000
DR. CHARLES JOHN BILLINGTON JR. MD
Medical Genetics (Clinical Genetics (M.D.))
111 MICHIGAN AVE NW, W3.5, 600
WASHINGTON, DC 20010
District of Columbia (202) 476-3670
GINA JIN LEE PHARMD
Pharmacist (Pharmacotherapy)
111 MICHIGAN AVE NW
WASHINGTON, DC 20010
District of Columbia (202) 476-4080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1053491787. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Shannon Kelly located?

Shannon Kelly practices at 111 Michigan Ave NW Orthopaedic Surgery, Washington, DC 20010. The listed phone number is (202) 476-4063.

What is Shannon Kelly's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Pediatric Orthopaedic Surgery, with taxonomy code 207XP3100X.

Is Shannon Kelly enrolled in Medicare?

Yes. Shannon Kelly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Kelly was last updated on March 18, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.