DR. KATHLEEN A KELLY MD
NPI 1326197302
Pediatrics in Fairfax, VA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kathleen A Kelly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Kelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fairfax, VA 22033
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 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 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.
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.
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
FAIRFAX, VA 22033
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.
Which organization bills Medicare for Kathleen Kelly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Kelly reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA). 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 Kathleen Kelly'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 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.
# Dr. Kathleen A Kelly, MD · NPI 1326197302
Pediatrics physician in Fairfax, Virginia. Individual provider, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1326197302 (Entity type: Individual)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 0101054869 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 12255 FAIR LAKES PKWY, Fairfax, VA 22033-3952
- **Phone:** (703) 934-5700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1215058326, Fairfax, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1326197302) · Data from the CMS NPPES public registry.