NPIMap

Individual provider Active NPI

Camilla Waldum Kilbane, MD

  • Neurology Physician
  • San Francisco, CA
National Provider Identifier
1659526093
Registry record updated Dec 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A110651 Issued in CA
Practice address
1635 Divisadero St Ste 520
UCSF Surgical Movement Disorders
San Francisco, CA 94115-3044
Phone
(415) 353-2311
NPI assigned
Nov 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A110651 CA Primary

Addresses

Primary practice location

1635 Divisadero St Ste 520
UCSF Surgical Movement Disorders
San Francisco, CA 94115-3044

Mailing address

11100 Euclid Ave # Han5040
Cleveland, OH 44106-1716
Phone (216) 844-5752

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address camillakilbane@uhps.allscriptsdirect.net
Direct Messaging Address camillakilbane@uhps.allscriptsdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150311002697 OH Practitioner - Neurology 6608908066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716

950 Clague Rd
Suite 104 Building B
Westlake, OH 44145-1533
Phone (216) 844-8200

Hospital & facility affiliations

  • University Hospital Home Care Services, Inc Home health agency, Warrensville HTS, OH, CCN 367424
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137
  • Uh St John Medical Center Hospital, Westlake, OH, CCN 360123
  • Southwest General Health Center Hospital, Middleburg Heights, OH, CCN 360155
  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • University Hospitals - Elyria Medical Center Hospital, Elyria, OH, CCN 360145

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A110651CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Medical Group Inc Neurology CurrentSince Mar 1, 2015 Accepting new patients
Multicare Health System Past Accepting new patients

Locations

11100 Euclid Ave
Cleveland Heights, OH 44106

20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156

960 Clague Rd
Ste 1200
Westlake, OH 44145
Phone (440) 250-2001

950 Clague Rd
Westlake, OH 44145
Phone (440) 250-2020

Interoperability endpoints

  • Direct secure messaging: ckilbane35927@ehrdirect.uhhospitals.org

Organizations & group practices 2

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 9

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": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1659526093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE # HAN5040",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 DIVISADERO ST STE 520",
            "address_2": "UCSF SURGICAL MOVEMENT DISORDERS",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153044",
            "telephone_number": "415-353-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBANE",
        "first_name": "CAMILLA",
        "middle_name": "WALDUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A110651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "camillakilbane@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "11100 Euclid Ave",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441061716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "camillakilbane@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "950 Clague Rd",
            "city": "Westlake",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441451533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.