1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Pediatrics
  6. NPI Profile

DR. KATHLEEN A KELLY MD
NPI 1326197302
Pediatrics in Fairfax, VA

Active since January 09, 2007PECOS Enrolled
12255 FAIR LAKES PKWY, FAIRFAX, VA 22033(703) 934-5700 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kathleen A Kelly Md NPPES

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

DR. KATHLEEN A KELLY MD (NPI 1326197302) is an individual pediatrics provider in Fairfax, Virginia, licensed in Virginia (0101054869) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326197302
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KATHLEEN A KELLYCredential: MD
Location Address12255 FAIR LAKES PKWYFairfax, VA 22033-3952
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Phone(703) 934-5700
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateDecember 20, 2022
NPPES CertifiedDecember 20, 2022
✔ NPI 1326197302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0101054869✔ Licensed in DC · MD039430✔ Licensed in MD · D51285
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal MedicineTaxonomy 207R00000X · License D51285 (MD), 0101054869 (VA), MD039430 (DC)
12255 FAIR LAKES PKWY, Fairfax, VA 22033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kathleen A 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ANDALEEB RAHMAN MD
Family Medicine
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Fairfax County (703) 359-7878
RENEE ELIZABETH FUNCHES M.D.
Internal Medicine (Hematology & Oncology)
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033
Fairfax County (703) 934-5700
DR. KHOI T VU MD
Obstetrics & Gynecology
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033
Fairfax County (703) 934-5720
DR. MONA THERESA ISKANDER M.D.
Pediatrics
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Fairfax County (703) 934-5804
DR. KATHERINE OHLHAUSEN MCCABE MD
Ophthalmology
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Fairfax County (703) 934-5700
KAISER FOUNDATION HEALTH PLAN OF THE MID ATLANTIC STATES, INC
Clinic/Center (Health Service)
12255 FAIR LAKES PKWY
FAIRFAX, VA 22033
Fairfax County (703) 934-5700
DR. MINH-PHUONG LU DOAN MD
Ophthalmology
12255 FAIR LAKES PKWY, KAISER PERMANENTE
FAIRFAX, VA 22033
Fairfax County (702) 934-5700
WILLIAM SEID M.D.
Colon & Rectal Surgery
12255 FAIR LAKES PKWY, KAISER PERMANENTE FAIR OAKS MEDICAL CENTER
FAIRFAX, VA 22033
Fairfax County (703) 934-5770

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 Kathleen Kelly's NPI number?

The NPI number for Kathleen Kelly is 1326197302. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Kathleen Kelly located?

Kathleen Kelly practices at 12255 Fair Lakes Pkwy, Fairfax, VA 22033. The listed phone number is (703) 934-5700.

What is Kathleen Kelly's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kathleen Kelly enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kathleen Kelly was last updated on December 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.