Individual provider Active NPI

Harish Kakkilaya, M.D.

  • Surgery Physician
  • Sicklerville, NJ
National Provider Identifier
1902064140
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA08543800 Issued in NJ
Practice address
500 Berlin Cross Keys Rd
Sicklerville, NJ 08081
Phone
(856) 673-4500
NPI assigned
May 23, 2008
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0198617MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NJ, DE3 enrollments
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.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080826000592 MD Practitioner - General Surgery 3072688027 Reassigns benefits to 1 organization
I20090803000688 NJ Practitioner - General Surgery 3072688027 Reassigns benefits to 1 organization
I20250718002507 DE Practitioner - General Surgery 3072688027 Reassigns benefits to 1 organization

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
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0067469MDMDSurgery Physician
25MA08543800NJMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County Surgery CurrentSince Jun 21, 2025 Accepting new patients
Christiana Care Health Services, Inc Surgery CurrentSince Jul 9, 2025 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Mar 1, 2019 Accepting new patients
Cooper Surgical Associates, PA Surgery CurrentSince Mar 1, 2019 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 9, 2025 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.