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

Gary M. Kellman, MD

Individual provider Body Imaging Physician · NPI 1104844760

Gary M. Kellman, MD is a Diagnostic Radiology in Fairfax, Virginia. Qualified in 1981, 45 years ago. Practices with USC Care Medical Group Inc, a 1,371-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Maryland and Virginia.

Years since qualifying
45
Licensed in
CA, MD, VA
In the registry since
2006
Specialties on file
9
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

2722 Merrilee Dr #230
Fairfax, VA 22031-4400
Phone: (703) 698-4483
Fax: (703) 573-0880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 San Pablo St, Los Angeles, CA 90033-5313 — (323) 442-8541

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101048839 (VA)
Body Imaging Physician Taxonomy 2085B0100X · Licence 0101048839 (VA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence 0101048839 (VA)
Nuclear Radiology Physician Taxonomy 2085N0904X · Licence 0101048839 (VA)
Pediatric Radiology Physician Taxonomy 2085P0229X · Licence 0101048839 (VA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence D0087855 (MD)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence G183989 (CA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 0101048839 (VA)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X · Licence 0101048839 (VA)

Record details

NPI number1104844760
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESMay 18, 2023
Certification dateMay 18, 2023
Mailing addressPo Box 3650, Merrifield, VA 22116-3650

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Group practice Usc Care Medical Group Inc — 1371 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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