DR. KATHLEEN M DONNELLY M.D.
NPI 1487656815
Pediatrics - Pediatric Critical Care Medicine in Falls Church, VA

Q: What is Kathleen Donnelly's NPI number?

The NPI number for Kathleen Donnelly is 1487656815. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Kathleen Donnelly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Donnelly was last updated on July 20, 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 August 15, 2005PECOS Enrolled

3300 GALLOWS RD, DEPARTMENT OF PEDIATRICS, FALLS CHURCH, VA 22042(703) 776-6652(703) 776-6078 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kathleen M Donnelly M.d. NPPES

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

DR. KATHLEEN M DONNELLY M.D. (NPI 1487656815) is an individual pediatric critical care medicine provider in Falls Church, Virginia, licensed in Virginia (0101240417) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487656815

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KATHLEEN M DONNELLYCredential: M.D.

Location Address3300 GALLOWS RD, DEPARTMENT OF PEDIATRICSFalls Church, VA 22042-3307

Mailing Address3300 Gallows Rd, Department Of PediatricsFalls Church, VA 22042-3307 · (703) 776-6652 · Fax (703) 776-6078

Phone(703) 776-6652

Fax(703) 776-6078

Sole ProprietorNo

Enumeration DateAugust 15, 2005

Last NPPES UpdateJuly 20, 2020

NPPES CertifiedJuly 20, 2020

✔ NPI 1487656815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in VA · 0101240417✔ Licensed in NY · 218196

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

3300 GALLOWS RD, Falls Church, VA 22042

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Other Identifiers 1

Medicaid02110034NY

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 M Donnelly M.d. 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.

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