KELLY COLLABORATIVE MEDICINE
NPI 1639521966
Internal Medicine in Silver Spring, MD
NPI Status: Active since July 11, 2016
Contact Information
10801 LOCKWOOD DR
SUITE 210
SILVER SPRING, MD
ZIP 20901
Phone: (301) 298-1040
Fax: (844) 288-6896
- Organization
- Internal Medicine
- CLIA Number: 21D2125201
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 02-01-2027
About KELLY COLLABORATIVE MEDICINE
This page provides the complete NPI Profile along with additional information for Kelly Collaborative Medicine, an internist established in Silver Spring, Maryland operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1639521966 assigned on July 2016. The practitioner's primary taxonomy code is 207R00000X with license number D0076087 (MD). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Kelly Collaborative Medicine. The authorized official of this NPI record is Dr. Kathryn Delores Garrett Kelly Md (Owner)
- NPI
- 1639521966
- Provider Legal Name
- KATHRYN D. KELLY, MD, PC
- Other Organization Name
- KELLY COLLABORATIVE MEDICINE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10801 LOCKWOOD DR SUITE 210 SILVER SPRING, MD 20901
- Location Phone
- (301) 298-1040
- Location Fax
- (844) 288-6896
- Mailing Address
- 10801 LOCKWOOD DR SUITE 210 SILVER SPRING, MD 20901
- Mailing Phone
- (301) 298-1040
- Mailing Fax
- (844) 288-6896
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-11-2016
- Last Update Date
- 08-24-2016
- Code Navigator
An internist like Kelly Collaborative Medicine is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D0076087
- License State
- MD
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 21D2125201
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- February 02, 2025
- Certificate Expiration Date
- February 01, 2027
- Laboratory Director
- KATHRYN KELLY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kelly Collaborative Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1639521966, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
SILVER SPRING, MD 20901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639521966, enumerated as an "organization" on July 11, 2016.
The provider is located at 10801 LOCKWOOD DR SUITE 210 SILVER SPRING, MD 20901 and the phone number is (301) 298-1040.
Internal Medicine with taxonomy code 207R00000X.
