Jeanne Kilp, M.D.

Primary specialty

Obesity Medicine (Obstetrics & Gynecology) PhysicianTaxonomy code 207VB0002X

License

50673 Issued in MA

Practice address

603 Salem St
Wakefield, MA 01880-1227

Phone

(781) 245-6334

Fax

(781) 245-6332

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• KJC Medi Weightloss LLC

  • Family Medicine Physician
  • Wakefield, MA
  • NPI 1336692243
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1669490801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 SALEM ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801227",
            "telephone_number": "781-245-6334",
            "fax_number": "781-245-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SALEM ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801227",
            "telephone_number": "781-245-6334",
            "fax_number": "781-245-6332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Washington St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "MA",
            "postal_code": "027622155",
            "country_code": "US",
            "telephone_number": "508-699-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Spring St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024723474",
            "country_code": "US",
            "telephone_number": "617-923-6334",
            "fax_number": "617-923-6334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Chelmsford Rd # 8",
            "address_purpose": "LOCATION",
            "city": "North Billerica",
            "state": "MA",
            "postal_code": "018621350",
            "country_code": "US",
            "telephone_number": "978-244-0411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILP",
        "first_name": "JEANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VB0002X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obesity Medicine",
            "state": "MA",
            "license": "50673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Graydon Kidd, M.D.
• Milly Namazi Kikabi
• Eda Kil
• Kirsten Kilburn
• Courtney Elizabeth Kilgore
• Dexter Roland King
• Joseph L King, DC
• Julia Stephanie King, PA-C
• Kirkwood House Inc
• Chrisitne Kisembo

• Obstetrics & Gynecology Physician in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.