DR. KELLI LYNN OUTLAW (MD) – Emergency Medicine Physician, NPI 1376937516

DR. KELLI LYNN OUTLAW (MD) is a healthcare provider. based in Largo, Maryland. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 324916 (LA). The NPI Number for DR. KELLI LYNN OUTLAW (MD) is 1376937516

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. KELLI LYNN OUTLAW (MD)
NPI
1376937516
Phone
(240) 461-8696
Address
901 HARRY S TRUMAN DR N
Enumeration Date
25 March 2015
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
3017254300
Graduation Year
2015 (11 years ago)
PAC ID
7810242021
Group Practice PAC ID
9638334162
Professional Enrollment ID
I20180612000759
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

Provider Addresses for DR. KELLI LYNN OUTLAW (MD)

  • 901 HARRY S TRUMAN DR N

    LARGO, MD 207745477

    Phone: (240) 461-8696

    Type: Mailing

  • 10 NATHAN D PERLMAN PL

    NEW YORK, NY 100033851

    Phone: (212) 420-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20180612000759IEmergency MedicineDCTBD
I20210114001822IEmergency MedicineLATBD
I20230607000261IEmergency MedicineMDTBD

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
99285Emergency department visit with high level of medical decision making9695$0
99284Emergency department visit with moderate level of medical decision making5050$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4337$0
99283Emergency department visit with low level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 20774)

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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: 9638334162View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. KELLI LYNN OUTLAW (MD)?
NPI 1376937516 is assigned to DR. KELLI LYNN OUTLAW (MD) under the national enumeration system.
Is DR. KELLI LYNN OUTLAW (MD) active in the national directory?
DR. KELLI LYNN OUTLAW (MD)'s public NPI profile is in an active state.
Can you summarize DR. KELLI LYNN OUTLAW (MD)'s specialty in plain language?
Clinically, the directory lists DR. KELLI LYNN OUTLAW (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. KELLI LYNN OUTLAW (MD) practice in Maryland?
You will see Largo, Maryland on file for DR. KELLI LYNN OUTLAW (MD) alongside any extra practice locations.
What if Largo, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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