BAHIJ KREIDIEH – Clinical Cardiac Electrophysiology Physician, NPI 1023462280

BAHIJ KREIDIEH is a healthcare provider. based in Wynnewood, Pennsylvania. specializing in CARDIAC ELECTROPHYSIOLOGY, CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold a License No. 036166973 (IL). The NPI Number for BAHIJ KREIDIEH is 1023462280

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
BAHIJ KREIDIEH
NPI
1023462280
Phone
(484) 476-2682
Address
100 E LANCASTER AVE
Enumeration Date
14 April 2016
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7083465562
Graduation Year
2013 (13 years ago)
PAC ID
3779964903
Group Practice PAC ID
4880779727
Professional Enrollment ID
I20240814003499
Address ID
IL608052135EV3545XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

233 CARDIAC ELECTROPHYSIOLOGY in PA

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Provider Addresses for BAHIJ KREIDIEH

  • Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States

    WYNNEWOOD, PA 190963450

    Phone: (484) 476-2682

    Fax: (484) 476-1658

    Type: Location

  • 3545 W 95TH ST

    EVERGREEN PARK, IL 608052135

    Phone: (708) 346-5562

    Fax: (708) 346-2059

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $7,620.

Total Amount is formed as General ($7,620) + Research ($0) + Ownership ($0) = $7,620.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Medtronic, Inc. ($2,505).

Total Amount

$7,620

General + Research + Ownership

Payments

41

Total payment records

General Amount

$7,620

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2024-08-14

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
I20240814003499ICardiac ElectrophysiologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19096)

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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: 4880779727View full group profile
NameSpecialtyState
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)IL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)MA

Reviews

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Frequently asked questions

How is BAHIJ KREIDIEH identified in CMS data?
CMS-hosted NPPES data lists BAHIJ KREIDIEH with NPI 1023462280.
Can I rely on BAHIJ KREIDIEH being an active provider?
As of the registry snapshot, BAHIJ KREIDIEH is marked active.
What is BAHIJ KREIDIEH's specialty?
The listing groups BAHIJ KREIDIEH with Clinical Cardiac Electrophysiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect BAHIJ KREIDIEH on a map?
Expect Wynnewood, Pennsylvania as a primary anchor for BAHIJ KREIDIEH unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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