Active NPI
David J. Kilduff, CRNA
- Certified Registered Nurse Anesthetist
- Holly Springs, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 045379
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 963 | NC | MD | Marriage & Family Therapist |
| RN282282-L | PA | MD | Registered Nurse |
| 045379 | PA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Raleigh Medical Group, PA | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| East Carolina Anesthesia Associates, PLLC | Registered Nurse | Current | Accepting new patients |
| University of North Carolina at Chapel Hill | Current | Accepting new patients | |
| American Anesthesiology of North Carolina, PLLC | Nurse Anesthetist, Certified Registered | Current | 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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Certified Registered Nurse Anesthetist
- Burlington, NC
- NPI 1053677195
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Registered Nurse
-
- Pain Medicine (Anesthesiology) Physician
- Wake Forest, NC
- NPI 1942248547
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Raleigh, NC
- NPI 1104962315
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1487663688
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1275521668
-
- Anesthesiology Physician
- Savannah, GA
- NPI 1770664617
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
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.