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

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: November 01, 2026.

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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 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.

Medicare Billing Reassignment

Medicare enrollment records show Kathleen Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
Same address
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ALLISON ELIZABETH TWEEDIE MD
Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
DR. OLEG DOLGHI M.D
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
MRS. CHERYL ANNE FRASER NP
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4132
MISS CRYSTAL FALKE PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3281
EMERGENCY MEDICINE ASSOCIATES
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4002
NARGES NAJMYAR PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 970-2670
SARAH MARAKOS DO
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-6652
KARA STONE YOUNG CRNA
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001

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 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.

Where is Kathleen Donnelly located?

Kathleen Donnelly practices at 3300 Gallows Rd Department Of Pediatrics, Falls Church, VA 22042. The listed phone number is (703) 776-6652.

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.

Is Kathleen Donnelly enrolled in Medicare?

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

Which organization bills Medicare for Kathleen Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Donnelly reassigns Medicare benefits to Inova Health Care Services (Falls Church, 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 Donnelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Donnelly accept?

Health plans from Oscar Health list Kathleen Donnelly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.