KILSY CUELLO PICHARDO (MD) – Nephrology Physician, NPI 1720407588

KILSY CUELLO PICHARDO (MD) is a healthcare provider. based in Carrollton, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 77453 (GA). The NPI Number for KILSY CUELLO PICHARDO (MD) is 1720407588

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
KILSY CUELLO PICHARDO (MD)
NPI
1720407588
Phone
(770) 832-0429
Address
157 CLINIC AVE
Enumeration Date
9 April 2014
Last Update Date
17 June 2019

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
7708320429
Graduation Year
2011 (15 years ago)
PAC ID
7810253952
Group Practice PAC ID
3476691510
Professional Enrollment ID
I20171107000546
Address ID
GA301174454CA157XXAVEX306
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

5,405 INTERNAL MEDICINE in GA

Provider Addresses for KILSY CUELLO PICHARDO (MD)

  • 157 CLINIC AVE

    STE 203

    CARROLLTON, GA 301174454

    Phone: (770) 832-0429

    Fax: (770) 838-9108

    Type: Mailing

  • 157 CLINIC AVE STE 203

    CARROLLTON, GA 301174454

    Phone: (770) 832-0429

    Fax: (770) 838-9108

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 73 Open Payments records for all available years, with a total value of $1,367.

Total Amount is formed as General ($1,367) + Research ($0) + Ownership ($0) = $1,367.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($310).

Total Amount

$1,367

General + Research + Ownership

Payments

73

Total payment records

General Amount

$1,367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-11-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171107000546IInternal MedicineGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes641340$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes359106$0
36415Insertion of needle into vein for collection of blood sample17089$0
90960Dialysis services, 4 or more physician visits per month (20 years or older)13668$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9635$0
View full utilization report →

Insurance plans in this area (ZIP 30117)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476691510View full group profile
NameSpecialtyState
N E P H R O L O G YVA
Nurse PractitionerGA
N E P H R O L O G YGA
Nephrology, Internal MedicineGA

Reviews

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Frequently asked questions

What unique ID ties claims to KILSY CUELLO PICHARDO (MD)?
NPI 1720407588 is assigned to KILSY CUELLO PICHARDO (MD) under the national enumeration system.
Is KILSY CUELLO PICHARDO (MD)'s NPI currently valid?
The extract we use shows KILSY CUELLO PICHARDO (MD) as active.
What does KILSY CUELLO PICHARDO (MD) treat or focus on?
Patients typically see KILSY CUELLO PICHARDO (MD) under the specialty Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for KILSY CUELLO PICHARDO (MD)?
The page summarizes Carrollton, Georgia for KILSY CUELLO PICHARDO (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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