Grant Kelly, MD
Student in an Organized Health Care Education/Training Program in Bethesda, MD. Individual provider (NPI-1).
NPI number1497558720
StatusActive
Last updated in NPPESMar 31, 2025
Details
- NPI
- 1497558720
- Entity type
- Individual (NPI-1)
- Name
- Grant Kelly
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2025
- Certification date
- Mar 31, 2025
- Last updated
- Mar 31, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
8901 Rockville PikeBethesda, MD 20889-0001
Phone 301-295-4000
Mailing address
8901 Rockville PikeBethesda, MD 20889-0001
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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