Individual provider Active NPI

David J. Kilduff, CRNA

  • Certified Registered Nurse Anesthetist
  • Holly Springs, NC
National Provider Identifier
1154372985
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
045379 Issued in PA
Practice address
409 Brightling Way
Holly Springs, NC 27540
Phone
(919) 367-0922
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN282282-L PA
Certified Registered Nurse Anesthetist 367500000X 045379 PA Primary

Addresses

Primary practice location

409 Brightling Way
Holly Springs, NC 27540

Mailing address

409 Brightling Way
Holly Springs, NC 27540
Phone (919) 367-0922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070105000295 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3375507080 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel HillGroup PAC ID 0648181156, 2,028 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

850 S Main St
Holly Springs, NC 27540-8906
Phone (984) 960-1800

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
963NCMDMarriage & Family Therapist
RN282282-LPAMDRegistered Nurse
045379PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince Jul 1, 2014 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2006 Accepting new patients
East Carolina Anesthesia Associates, PLLC Registered Nurse CurrentSince Sep 1, 2023 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jan 22, 2013 Accepting new patients
American Anesthesiology of North Carolina, PLLC Nurse Anesthetist, Certified Registered CurrentSince Aug 21, 2006 Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients
Memorial Health Anesthetists Past Accepting new patients
Anesthesiology Consultants PC Past Accepting new patients

Locations

1236 Huffman Mill Rd
Ste 2000
Burlington, NC 27215
Phone (336) 538-7180

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

8300 Health Park
Ste 309
Raleigh, NC 27615
Phone (919) 571-1925

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1154372985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 BRIGHTLING WAY",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "27540",
            "telephone_number": "919-367-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 BRIGHTLING WAY",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "27540",
            "telephone_number": "919-367-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILDUFF",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN282282-L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "045379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.