Individual provider Active NPI

Diane Kilduff, NP

  • Addiction Medicine (Internal Medicine) Physician
  • Pocasset, MA
National Provider Identifier
1700829058
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
198195 Issued in MA
Practice address
8 Wenaumet Bluff Dr.
Pocasset, MA 02559
Phone
(508) 246-4463
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 198195 MA Primary

Addresses

Primary practice location

8 Wenaumet Bluff Dr.
Pocasset, MA 02559

Mailing address

P.O. Box 3652
8 Wenaumet Bluff Dr.
Pocasset, MA 02559
Phone (508) 246-4463

Other practice location 1

116 Belmont St
Worcester, MA 01605-2964
Phone (508) 770-1602

Other practice location 2

42 Patton Rd
Ayer, MA 01434-3801
Phone (978) 796-1000 ext. 1317

Other identifiers 1

IdentifierTypeStateIssuer
0708216MedicaidMA

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
198195MAMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighton Family Practice, Inc Past Accepting new patients
Preventive Medicine Associates Past Accepting new patients
Worcester Family Practice, Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1700829058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3652",
            "address_2": "8 WENAUMET BLUFF DR.",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "02559",
            "telephone_number": "508-246-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 WENAUMET BLUFF DR.",
            "city": "POCASSET",
            "state": "MA",
            "postal_code": "02559",
            "telephone_number": "508-246-4463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052964",
            "country_code": "US",
            "telephone_number": "508-770-1602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Patton Rd",
            "address_purpose": "LOCATION",
            "city": "Ayer",
            "state": "MA",
            "postal_code": "014343801",
            "country_code": "US",
            "telephone_number": "978-796-1000 x1317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILDUFF",
        "first_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MA",
            "license": "198195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0708216",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocasset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.