Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kelly J Tanenholz, MD

Individual provider Internal Medicine Physician · NPI 1780688424

Dr. Kelly J Tanenholz, MD is an Internal Medicine in Rockville, Maryland. Graduated from Georgetown University School of Medicine in 1999, 27 years ago. Practices with Privia Care Center LLC, a 287-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
27
Trained at
Georgetown University School of Medicine
Licensed in
MD
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1201 Seven Locks Rd Ste 111
Rockville, MD 20854-2931
Phone: (301) 762-5020
Fax: (301) 294-7569
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence D0058604 (MD)

Record details

NPI number1780688424
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 10, 2005
Last updated in NPPESFebruary 4, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Privia Care Center Llc — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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