Individual provider Active NPI

Hussein Kiliddar, MD

  • Pulmonary Disease Physician
  • Woodstown, NJ
National Provider Identifier
1023122306
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MA07901200 Issued in NJ
Practice address
66 East Ave
Woodstown, NJ 08098-1417
Phone
(856) 935-6700
NPI assigned
Aug 17, 2006
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-417448 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD417448 PA
Pulmonary Disease Physician 207RP1001X MD417448 PA
Pulmonary Disease Physician 207RP1001X 25MA07901200 NJ Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD-417448 PA

Addresses

Primary practice location

66 East Ave
Woodstown, NJ 08098-1417

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

2339 Route 70 W Fl 3
Cherry Hill, NJ 08002-3315
Phone (856) 536-1500

Other identifiers 1

IdentifierTypeStateIssuer
100819671 0002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050425000363 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4082652516
I20130802000435 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 4082652516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, shared by 5 NPIs, 474 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD417448PAMDCritical Care Medicine (Internal Medicine) Physician
MD-417448PAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA Pulmonary Disease Current Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 1, 2020 Accepting new patients
CMC Department of Medicine Group PA Critical Care Medicine CurrentSince Jul 20, 2021 Accepting new patients
Sleep Center of Bucks County, Inc. Past Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
#200
Camden, NJ 08103

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 312
Camden, NJ 08103
Phone (856) 342-2406

2339 Route 70 W
Fl 3
Cherry Hill, NJ 08002
Phone (856) 536-1500

2339 Route 70 W
Ste 300
Cherry Hill, NJ 08002
Phone (856) 667-7266

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

4 Bypass Rd
Ste 103
Salem, NJ 08079
Phone (856) 339-4453

900 Centennial Blvd
Ste K
Voorhees, NJ 08043
Phone (856) 325-6789

66 East Ave
Woodstown, NJ 08098
Phone (856) 935-6700

Interoperability endpoints

  • Direct secure messaging: hkiliddar99297@direct.cooperhealth.edu

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1023122306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 EAST AVE",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981417",
            "telephone_number": "856-935-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2339 Route 70 W Fl 3",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080023315",
            "country_code": "US",
            "telephone_number": "856-536-1500",
            "fax_number": "856-536-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILIDDAR",
        "first_name": "HUSSEIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD-417448",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD417448",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD417448",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MA07901200",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD-417448",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100819671 0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstown, NJ

Sources for this page

Verify at the official NPI Registry.