Gary Kellman, MD
Gary Kellman, MD is a Diagnostic Radiology Physician in Fairfax, VA, registered under NPI 1104844760. This provider registers 7 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2722 MERRILEE DR #230, Fairfax, VA 22031. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0101048839 | VA | Diagnostic Radiology Physician primary |
| 0101048839 | VA | Body Imaging Physician |
| 0101048839 | VA | Neuroradiology Physician |
| 0101048839 | VA | Nuclear Radiology Physician |
| 0101048839 | VA | Pediatric Radiology Physician |
| D0087855 | MD | Diagnostic Radiology Physician |
| G183989 | CA | Diagnostic Radiology Physician |
| 0101048839 | VA | Vascular & Interventional Radiology… |
| 0101048839 | VA | Diagnostic Ultrasound Physician |
Licences are recorded in 3 states: VA, MD, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Diagnostic Radiology
- PAC ID
- 7618056623
Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 3 states
This provider holds licences in 3 states: California, Maryland and Virginia. The practice address on file is in Fairfax, VA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 0101048839
- Specialty
- Diagnostic Radiology Physician
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 9 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 0101048839 | VA | primary |
| 2085B0100X | Body Imaging Physician Body Imaging | 0101048839 | VA | |
| 2085N0700X | Neuroradiology Physician Neuroradiology | 0101048839 | VA | |
| 2085N0904X | Nuclear Radiology Physician Nuclear Radiology | 0101048839 | VA | |
| 2085P0229X | Pediatric Radiology Physician Pediatric Radiology | 0101048839 | VA | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | D0087855 | MD | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | G183989 | CA | |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | 0101048839 | VA | |
| 2085U0001X | Diagnostic Ultrasound Physician Diagnostic Ultrasound | 0101048839 | VA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1104844760 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 18, 2006 |
| Last updated | May 18, 2023 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
2722 MERRILEE DR #230 Fairfax, VA 22031 (703) 698-4483 Fax (703) 573-0880 |
| Mailing address |
PO BOX 3650 Merrifield, VA 22116 |
| Other identifiers |
0030
· CAREFIRST BCBS (VA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 0 | 4 | 8 | 4 | 4 | 7 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 0 | 4 | 7 | 4 | 8 | 7 | 3 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.