KIM A KELLY, M.D., P.C.
NPI 1871957761
Prevention Professional in Suitland, MD

NPI Status: Active since April 07, 2016

Contact Information

5875 ALLENTOWN RD
SUITLAND, MD
ZIP 20746
Phone: (301) 702-2003
Fax: (301) 702-2324

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  • Organization
  • Prevention Professional

About KIM A KELLY, M.D., P.C.

This page provides the complete NPI Profile along with additional information for Kim A Kelly, M.d., P.c., a provider established in Suitland, Maryland operating as a Prevention Professional. The healthcare provider is registered in the NPI registry with number 1871957761 assigned on April 2016. The practitioner's primary taxonomy code is 405300000X with license number D0039363 (MD). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Kim A Kelly Md (Owner)

NPI
1871957761
Provider Name
KIM A KELLY, M.D., P.C.
Entity Type
Organization
Location Address
5875 ALLENTOWN RD SUITLAND, MD 20746
Location Phone
(301) 702-2003
Location Fax
(301) 702-2324
Mailing Address
5875 ALLENTOWN RD SUITLAND, MD 20746
Mailing Phone
(301) 702-2003
Mailing Fax
(301) 702-2324
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-07-2016
Last Update Date
05-04-2017
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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

Prevention Professional

Taxonomy Code
405300000X
Type
Other Service Providers
License No.
D0039363
License State
MD
Taxonomy Description
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. KIM A KELLY MD

Authorized Official Title
OWNER
Authorized Official Phone
(301) 702-2003

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
44400001OTHER (01)MDBLUE CHOICE
048510100MEDICAID (05)MD 

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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 1871957761, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 1 + 8 + 5 + 1 + 4 + 7 + 1 + 2 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1871957761.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Pediatrics
5875 ALLENTOWN RD
SUITLAND, MD 20746
Pediatrics
5875 ALLENTOWN RD
SUITLAND, MD 20746
Nurse Practitioner (Family)
5875 ALLENTOWN RD
SUITLAND, MD 20746

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871957761, enumerated as an "organization" on April 07, 2016.

The provider is located at 5875 ALLENTOWN RD SUITLAND, MD 20746 and the phone number is (301) 702-2003.

Prevention Professional with taxonomy code 405300000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.