LAURENCE R KELLEY (M.D.) – Cardiovascular Disease Physician, NPI 1083676498

LAURENCE R KELLEY (M.D.) is a healthcare provider. based in Rockville, Maryland. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. D0047655 (MD). The NPI Number for LAURENCE R KELLEY (M.D.) is 1083676498

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
LAURENCE R KELLEY (M.D.)
NPI
1083676498
Phone
(301) 990-0040
Address
15215 SHADY GROVE RD
Enumeration Date
3 April 2006
Last Update Date
16 October 2007

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3016703000
Graduation Year
1984 (42 years ago)
PAC ID
2466511357
Group Practice PAC ID
4284631540
Professional Enrollment ID
I20090519000279
Address ID
MD208503278RO15225RDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

790 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MD

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Provider Addresses for LAURENCE R KELLEY (M.D.)

  • Shady Grove Road, King Farm, Rockville, Montgomery County, Maryland, 20850, United States

    SUITE 306

    ROCKVILLE, MD 208503235

    Phone: (301) 990-0040

    Fax: (301) 990-0043

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $863.

Total Amount is formed as General ($863) + Research ($0) + Ownership ($0) = $863.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($246).

Total Amount

$863

General + Research + Ownership

Payments

27

Total payment records

General Amount

$863

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090519000279ICardiovascular Disease (Cardiology)DCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes506319$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only497384$0
99215Established patient office or other outpatient visit, 40-54 minutes356251$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function299285$0
J2785Injection, regadenoson, 0.1 mg20852$0
View full utilization report →

Insurance plans in this area (ZIP 20850)

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Provider's Procedures

LAURENCE R KELLEY (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)MD78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies8787
CARDIOVASCULAR DISEASE (CARDIOLOGY)MD93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart3434

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284631540View full group profile

Reviews

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Frequently asked questions

How do I look up LAURENCE R KELLEY (M.D.) by NPI?
Use NPI 1083676498 when you need to reference LAURENCE R KELLEY (M.D.) in forms, claims, or directories.
Is LAURENCE R KELLEY (M.D.) currently active in the NPI registry?
CMS-published data lists LAURENCE R KELLEY (M.D.) as an active registrant.
Can you summarize LAURENCE R KELLEY (M.D.)'s specialty in plain language?
Clinically, the directory lists LAURENCE R KELLEY (M.D.) with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where does public data place LAURENCE R KELLEY (M.D.)?
The snapshot lists Rockville, Maryland for LAURENCE R KELLEY (M.D.); download NPPES for the complete set.
Is LAURENCE R KELLEY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1083676498. Always confirm identity and privileges with the practice and licensing boards.

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