KIM A KELLY, M.D., P.C.
KIM A KELLY, M.D., P.C. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1871957761, based in Suitland, MD. It is classified under Prevention Professional.
Getting there
The practice address on file is 5875 ALLENTOWN RD, Suitland, MD 20746. 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 |
|---|---|---|
| D0039363 | MD | Prevention Professional primary |
This provider holds licence D0039363 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Mass Immunization (roster Biller Only)
- PAC ID
- 1355750704
- Enrollment ID
- O20210514001226
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Mass Immunization (roster Biller Only). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Prevention Professional covers
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. NUCC Health Care Provider Taxonomy, code 405300000X
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-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1871957761 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Apr 7, 2016 |
| Last updated | May 4, 2017 |
| Status | Active |
| Practice address |
5875 ALLENTOWN RD Suitland, MD 20746 (301) 702-2003 Fax (301) 702-2324 |
| Other identifiers |
048510100
· Medicaid (MD) 44400001 · Other (MD) |
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 | 8 | 7 | 1 | 9 | 5 | 7 | 7 | 6 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 8 | 5 | 1 | 9 | 5 | 5 | 7 | 3 |
Sum = 69 · next multiple of 10 = 70 · check digit = 1 · actual last digit = 1
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.