Active NPI
Kieran M. Connolly
- Specialist
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- C1-0006277
- Practice address
- 700 Prides Xing Ste 200
Newark, DE 19713-6109 - Phone
- (302) 998-0300
- Fax
- (302) 998-5111
- NPI assigned
- Jun 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 28
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
DE
-
- Family Medicine Physician
- Rehoboth Beach, DE
- NPI 1023732203
-
- Oral and Maxillofacial Surgery (Dentist)
- Wilmington, DE
- NPI 1194073411
-
- Hospitalist Physician
- Newark, DE
- NPI 1245474329
-
- Pulmonary Disease Physician
- Newark, DE
- NPI 1255618070
-
- Neurology Physician
- Newark, DE
- NPI 1457593949
-
- Gastroenterology Physician
- Newark, DE
- NPI 1487083069
-
- Vascular Surgery Physician
- Newark, DE
- NPI 1568738839
-
- Community/Retail Pharmacy
- Wilmington, DE
- NPI 1639219082
-
- Geriatric Medicine (Family Medicine) Physician
- Wilmington, DE
- NPI 1659578425
-
- Dentist
- Wilmington, DE
- NPI 1659629988
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Jefferson Medical College of Thomas Jefferson University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT and Allergy of Delaware LLCChristiana Care Health Services Inc
Practice addresses (Care Compare)
1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300
306 E Main St
Middletown, DE 19709-1482
Phone (302) 998-0300
501 W 14TH St Wilmington Hospital
CCHS Surgery
Wilmington, DE 19801-1013
Phone (302) 623-3850
700 Prides Crossing
Suite 200
Newark, DE 19713-6109
700 Prides Xing
Suite 200
Newark, DE 19713-6109
Phone (302) 998-0300
Hospital & facility affiliations
- Christiana Hospital
- Beebe Medical Center
- Bayhealth Medical Center, Kent Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.46 of 100
- Quality
- 89.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.53
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100506000326 | DE | Practitioner - Otolaryngology | 2769510023 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0006277 | DE | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| ENT and Allergy of Delaware LLC | Specialist | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients |
Locations
306 E Main St
Middletown, DE 19709
Phone (302) 378-4489
700 Prides Xing
Ste 200
Newark, DE 19713
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
1401 Foulk Rd
Ste 205
Wilmington, DE 19803
1941 Limestone Rd
Ste 210
Wilmington, DE 19808
Phone (302) 992-9617
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C1-0006277 | DE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
700 Prides Xing Ste 200
Newark, DE 19713-6109
Mailing address
700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone (302) 998-0300
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001129501 | Medicaid | DE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 10, 2020.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1700828332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PRIDES XING STE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136109",
"telephone_number": "302-998-0300",
"fax_number": "302-998-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PRIDES XING STE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136109",
"telephone_number": "302-998-0300",
"fax_number": "302-998-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "KIERAN",
"middle_name": "M.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "DE",
"license": "C1-0006277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001129501",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
- Connections Community Support Programs, Inc.
- Connections Community Support Programs, Inc.
- Connections Community Support Programs, Inc.
- Ashley Nicole Connelly, CRNA, DNP
- Thomas Connelly III
- Laura Davis Connor, D.O.
- Conrad K. King Jr., M.D., P.a.
- Conscious Connections Counseling LLC
- Michael E Considine, LPC, LPCMH
- John Stewart Constance, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.
- 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.