Active NPI
Diane Kilduff, NP
- Addiction Medicine (Internal Medicine) Physician
- Pocasset, MA
National Provider Identifier
1700829058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 198195
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0708216 | Medicaid | MA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 198195 | MA | MD | Addiction Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Addiction Medicine (Family Medicine) Physician
- Brighton, MA
- NPI 1801804315
-
- Addiction Medicine (Family Medicine) Physician
- Brookline, MA
- NPI 1962451591
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1750399358
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.