DR. KELLY MICHELLE BOLDEN MD
NPI 1265616007
Plastic Surgery in Washington, DC

Q: What is Kelly Bolden's NPI number?

The NPI number for Kelly Bolden is 1265616007. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Q: What is Kelly Bolden's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Bolden was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 27, 2007PECOS EnrolledAccepts Medicare Assignment

5301 WISCONSIN AVE NW STE 100, WASHINGTON, DC 20015(202) 237-9292 Get Directions Write a Review

NPPES record last updated: May 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2020, Nov 1, 2019 (2 updates tracked since 2019).

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About Dr. Kelly Michelle Bolden Md NPPES

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

DR. KELLY MICHELLE BOLDEN MD (NPI 1265616007) is an individual plastic surgery provider in Washington, District Of Columbia, licensed in District Of Columbia (MD040080) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Baylor College Of Medicine (2003).

NPPES Registry Identity

NPI1265616007

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameDR. KELLY MICHELLE BOLDENCredential: MD

Location Address5301 WISCONSIN AVE NW STE 100Washington, DC 20015-2070

Mailing Address4834 Blagden Ave NwWashington, DC 20011-3716 · (202) 230-0364

Phone(202) 237-9292

Sole ProprietorYes

Medical School CMSBaylor College Of MedicineGraduated 2003

Enumeration DateDecember 27, 2007

Last NPPES UpdateMay 14, 20202 updates tracked since enumeration

NPPES CertifiedMay 14, 2020

✔ NPI 1265616007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in DC · MD040080✔ Licensed in MD · D0071243

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

5301 WISCONSIN AVE NW STE 100, Washington, DC 20015

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Secondary Practice Location 1

Location 12041 Georgia Ave NW Tower 4000Washington, DC 20060-3076 · Phone (202) 865-3785 · Fax (202) 865-3131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Michelle Bolden Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597944967

PECOS Enrollment IDI20111205000822

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kelly Bolden's NPI number?

The NPI number for Kelly Bolden is 1265616007. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Kelly Bolden located?

Kelly Bolden practices at 5301 Wisconsin Ave NW Ste 100, Washington, DC 20015. The listed phone number is (202) 237-9292.

What is Kelly Bolden's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Kelly Bolden enrolled in Medicare?

Yes. Kelly Bolden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Bolden was last updated on May 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.