DR. KELLY MICHELLE BOLDEN MD
NPI 1265616007
Plastic Surgery in Washington, DC
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Bolden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20060
- Reassigned Medicare billing, District of Columbia enrollment
- 319 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organization bills Medicare for Kelly Bolden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Bolden reassigns Medicare benefits to Howard University (Washington, DC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Bolden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Kelly Michelle Bolden, MD · NPI 1265616007
Plastic Surgery physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since December 27, 2007.
## Identity
- **NPI:** 1265616007 (Entity type: Individual)
- **Enumerated:** December 27, 2007
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** MD040080 (District of Columbia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5301 WISCONSIN AVE NW STE 100, Washington, DC 20015-2070
- **Phone:** (202) 237-9292
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Howard University (NPI 1033163597, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2003
## Record status
- **NPPES last updated:** May 14, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1265616007) · Data from the CMS NPPES public registry.