Individual provider Active NPI

Khalil Ahmed Kaid

  • Cardiovascular Disease Physician
  • Maplewood, NJ
National Provider Identifier
1285651109
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA08008500 Issued in NJ
Practice address
2168 Millburn Ave
Suite 204
Maplewood, NJ 07040-2640
Phone
(973) 762-3353
Fax
(973) 762-3370
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA08008500 NJ
Interventional Cardiology Physician 207RI0011X 25MA08008500 NJ
Cardiovascular Disease Physician 207RC0000X 25MA08008500 NJ Primary

Addresses

Primary practice location

2168 Millburn Ave
Suite 204
Maplewood, NJ 07040-2640

Mailing address

2168 Millburn Ave
Ste 205
Maplewood, NJ 07040-2670
Phone (973) 762-3353

Other identifiers 2

IdentifierTypeStateIssuer
91002856200OtherNJAMERICHOICE
0107310MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060929000365 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698770493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

201 Lyons Ave
Newark, NJ 07112-2027

90 Washington St
Suite 310
East Orange, NJ 07017-1050
Phone (973) 676-7192

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Hospital & facility affiliations

  • Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002
  • Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
98.51 of 100Reported as apm
Quality
84.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08008500NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Medicine NJ Internal Medicine CurrentSince Mar 27, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Mar 1, 2018 Accepting new patients
Barnabas Health Medical Group PC Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Nbimc Hospitalist Internal Medicine Past Accepting new patients
Dr. Jeffrey S. Weisman, PC Cardiovascular Disease Past Accepting new patients
RGM Multiple Diagnostic Center, LLC Cardiovascular Disease Past Accepting new patients

Locations

90 Washington St
Ste 311
East Orange, NJ 07017
Phone (973) 676-7192

90 Washington St
Ste 310
East Orange, NJ 07017
Phone (973) 676-7192

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

349 E Northfield Rd
Ste 107
Livingston, NJ 07039
Phone (973) 535-3191

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

2115 Millburn Ave
Ste 103
Maplewood, NJ 07040

2168 Millburn Ave
Ste 205
Maplewood, NJ 07040
Phone (973) 762-3353

2168 Millburn Ave
Ste 204
Maplewood, NJ 07040
Phone (973) 762-3353

2115 Millburn Ave
Ste L1
Maplewood, NJ 07040
Phone (973) 218-6240

235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034

228 Lafayette St
Fl 5
Newark, NJ 07105
Phone (973) 491-5222

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

Interoperability endpoints

  • Direct secure messaging: kkaid45979@epicdirect.rwjbh.org

Organizations & group practices 6

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 2

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1285651109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "address_2": "STE 205",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402670",
            "telephone_number": "973-762-3353",
            "fax_number": "973-762-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2168 MILLBURN AVE",
            "address_2": "SUITE 204",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070402640",
            "telephone_number": "973-762-3353",
            "fax_number": "973-762-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAID",
        "first_name": "KHALIL",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08008500",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA08008500",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA08008500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91002856200",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107310",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

Verify at the official NPI Registry.