KELLY M. BOLDEN MD – NPI #1265616007
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Health Care Provider Taxonomy Code for Plastic Surgery

KELLY BOLDEN is a plastic surgeon located in WASHINGTON, DC. NPPES has assigned the NPI number 1265616007 to KELLY BOLDEN on December 27, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

The NPI profile was previously updated about 6 years ago on May 14, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KELLY BOLDEN below.

NPI Profile for
KELLY M. BOLDEN

NPI Number
1265616007
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY M. BOLDEN
Credentials
MD
Primary location
5301 WISCONSIN AVE NW STE 100
WASHINGTON, DC 20015-2070
Phone: (202) 237-9292 Fax:
1 Other location(s):
2041 Georgia Ave NW Tower 4000
Washington, DC 20060-3076
Phone: (202) 865-3785
Fax: (202) 865-3131
Mailing address
4834 BLAGDEN AVE NW
WASHINGTON, DC 20011-3716
Phone: (202) 230-0364 Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 14, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)		 MD D0071243

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
BAYLOR COLLEGE OF MEDICINE - Graduated 2003
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KELLY BOLDEN is affiliated with the following medical group(s):
  • HOSPITAL
    • HOWARD UNIVERSITY HOSPITAL
      2041 GEORGIA AVE NW
      WASHINGTON, DC 20060

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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.