Active NPI
William Irvin Kilby, MD
- Pediatrics Physician
- Harrisonburg, VA
National Provider Identifier
1487650990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 010135377
- Practice address
- 3302 Albert Long Dr
Harrisonburg, VA 22801-2473 - Phone
- (540) 434-0898
- Fax
- (540) 433-9268
- NPI assigned
- Jun 21, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 010135377 | VA | Primary |
Addresses
Primary practice location
3302 Albert Long Dr
Harrisonburg, VA 22801-2473
Mailing address
3302 Albert Long Dr
Harrisonburg, VA 22801-2473
Phone (540) 434-0898
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112596000 | Other | VA | WEST VA MEDICAID |
| 08120000000 | Other | VA | SOUTHERN HEALTH |
| 28110 | Other | VA | OPTIMA |
| 006775799 | Medicaid | VA | |
| 541258300 | Other | VA | VALLEY CHILDRENS CLINIC |
| 700101768 | Other | VA | CIGNA |
| 013346 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010135377 | VA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1487650990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 ALBERT LONG DR",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228012473",
"telephone_number": "540-434-0898",
"fax_number": "540-433-9268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 ALBERT LONG DR",
"city": "HARRISONBURG",
"state": "VA",
"postal_code": "228012473",
"telephone_number": "540-434-0898",
"fax_number": "540-433-9268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILBY",
"first_name": "WILLIAM",
"middle_name": "IRVIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "010135377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEST VA MEDICAID",
"identifier": "0112596000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "08120000000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "28110",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006775799",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALLEY CHILDRENS CLINIC",
"identifier": "541258300",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "700101768",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "013346",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrisonburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.