Active NPI
Harish Kakkilaya, M.D.
- Surgery Physician
- Sicklerville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25MA08543800
- Practice address
- 500 Berlin Cross Keys Rd
Sicklerville, NJ 08081 - Phone
- (856) 673-4500
- NPI assigned
- May 23, 2008
- Last updated
- Jul 9, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C1-0011498 | DE | |
| Surgery Physician | 208600000X | D0067469 | MD | |
| Surgery Physician | 208600000X | 25MA08543800 | NJ | Primary |
Addresses
Primary practice location
500 Berlin Cross Keys Rd
Sicklerville, NJ 08081
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other practice location 1
120 White Horse Pike
Haddon Heights, NJ 08035-1938
Phone (856) 546-3900
Other practice location 2
120 White Horse Pike
Haddon Heights, NJ 08035-1938
Phone (856) 546-3900
Other practice location 3
501 W 14th St
Wilmington, DE 19801-1013
Phone (302) 733-1000
Other practice location 4
4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021
Phone (302) 623-3470
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0198617 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, NJ, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0067469 | MD | MD | Surgery Physician |
| 25MA08543800 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital of Cecil County | Surgery | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Surgery | Current | Accepting new patients |
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| Cooper Surgical Associates, PA | Surgery | Current | Accepting new patients |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Virtua Our Lady of Lourdes Hospital, Inc. | Past | Accepting new patients | |
| Union Hospital of Cecil County | Past | Accepting new patients | |
| Christiana Care Health Services, Inc | Surgery | Past | Accepting new patients |
Locations
4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343
4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
4000 Nexus Dr
Ste E3
Wilmington, DE 19803
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175
501 W 14th St
Ste 4154
Wilmington, DE 19801
Phone (302) 428-4175
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2270
3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270
500 Berlin Cross Keys Rd
Sicklerville, NJ 08081
Phone (856) 536-1536
66 East Ave
#C
Woodstown, NJ 08098
Phone (856) 339-6014
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Voorhees, NJ
- NPI 1427177195
-
dba CCHS Pmri
- Endocrinology, Diabetes & Metabolism Physician
- Wilmington, DE
- NPI 1770568107
-
- Surgery Physician
- Camden, NJ
- NPI 1649217514
-
dba CCHS Concord - Neurology
- Neurology Physician
- Chadds Ford, PA
- NPI 1881228484
-
dba Virtua Acute Rehabilitation Center
- Rehabilitation Hospital Unit
- Camden, NJ
- NPI 1255336731
-
dba CCHS Chief's Surgical Services
- Surgery Physician
- Wilmington, DE
- NPI 1952385122
-
dba Open MRI and Imaging at Principio
- Radiology Clinic/Center
- Perryville, MD
- NPI 1922246206
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christiana Care
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
-
- General Acute Care Hospital
- Elkton, MD
- NPI 1376523357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1902064140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BERLIN CROSS KEYS RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "08081",
"telephone_number": "856-673-4500"
}
],
"practiceLocations": [
{
"address_1": "120 White Horse Pike",
"address_purpose": "LOCATION",
"city": "Haddon Heights",
"state": "NJ",
"postal_code": "080351938",
"country_code": "US",
"telephone_number": "856-546-3900",
"fax_number": "856-546-3908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "120 White Horse Pike",
"address_purpose": "LOCATION",
"city": "Haddon Heights",
"state": "NJ",
"postal_code": "080351938",
"country_code": "US",
"telephone_number": "856-546-3900",
"fax_number": "856-546-3908",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 W 14th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198011013",
"country_code": "US",
"telephone_number": "302-733-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4735 Ogletown Stanton Rd Ste 3301",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197137021",
"country_code": "US",
"telephone_number": "302-623-3470",
"fax_number": "302-623-3475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAKKILAYA",
"first_name": "HARISH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-23",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "DE",
"license": "C1-0011498",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0067469",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MA08543800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0198617",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.