Niyazi Kilic

Individual provider Active NPI Obstetrics & Gynecology Physician · Bethlehem, PA

NPI 1972096113 · NPPES record last updated Jun 12, 2018

Key facts

NPI
1972096113
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
MT216227 (PA)
Practice address
801 Ostrum St
Bethlehem, PA 18015-1000
Phone
(484) 526-4670
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
Yes

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicksburg Clinic LLC (27 clinicians)

Practice addresses (Care Compare)

2100 Hwy 61 N
Vicksburg, MS 39183-8211
Phone (601) 883-5000

2200 Hwy 61 N
Vicksburg, MS 39183-8246

Hospital & facility affiliations

  • Merit Health River Region Hospital · Vicksburg, MS · CCN 250031

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100 (apm)
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220809002256 MS Practitioner - Obstetrics/Gynecology 1951783802 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT216227PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicksburg Clinic LLC Current
since Aug 15, 2022
Accepting new patients
Vicksburg Healthcare LLC Past Accepting new patients
Vicksburg Clinic LLC Obstetrics & Gynecology Past Accepting new patients
Vicksburg Clinic LLC Past Accepting new patients

Locations

2100 Highway 61 N
Vicksburg, MS 39183
Phone (601) 883-5001

104 McAuley Dr
Vicksburg, MS 39183
Phone (601) 638-7271

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

Interoperability endpoints

  • Direct secure messaging: niyazi.kilic.1@1475.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MT216227 PA Yes

Addresses

Primary practice location

801 Ostrum St
Bethlehem, PA 18015-1000

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4670

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 12, 2018.

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1972096113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000",
            "telephone_number": "484-526-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILIC",
        "first_name": "NIYAZI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MT216227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

All providers in Bethlehem, PA · Obstetrics & Gynecology Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.