DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) – Internal Medicine Physician, NPI 1790969319

DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) is a healthcare provider. based in Bala cynwyd, Pennsylvania. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 35.134997 (OH). The NPI Number for DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) is 1790969319

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD)
NPI
1790969319
Phone
(610) 667-1115
Address
333 E CITY AVE STE PL50
Enumeration Date
18 December 2007
Last Update Date
9 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6096331562
Graduation Year
2000 (26 years ago)
PAC ID
5092955518
Group Practice PAC ID
6406742592
Professional Enrollment ID
I20230425002246
Address ID
NJ086250500TR100XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:18State licenses:3Digital endpointsOther names

9,967 INTERNAL MEDICINE in PA

Provider Addresses for DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD)

  • 333 E CITY AVE STE PL50

    BALA CYNWYD, PA 190041505

    Phone: (610) 667-1115

    Type: Location

  • 4233, Remo Crescent Road, Bensalem, Bensalem Township, Bucks County, Pennsylvania, 19020, United States

    BENSALEM, PA 190202976

    Phone: (215) 639-1492

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 330 Open Payments records for all available years, with a total value of $309,526.

Total Amount is formed as General ($309,526) + Research ($0) + Ownership ($0) = $309,526.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CSL Plasma Inc. ($309,526).

Total Amount

$309,526

General + Research + Ownership

Payments

330

Total payment records

General Amount

$309,526

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Plasma Inc.$309,526
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: 2023-04-25

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
I20230425002246IInternal MedicineNJTBD

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 19004)

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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: 6406742592View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
Certified Nurse Midwife (Cnm)NJ
P S Y C H I A T R YNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Family PracticeMD
-NJ
-NJ
Internal MedicinePA
-NJ

Reviews

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Frequently asked questions

Can I cross-check DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) using NPI 1790969319?
NPI 1790969319 belongs to DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD); compare other details if you need extra assurance.
Is DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) shown as active in public data?
Registry records indicate DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) maintains an active NPI.
What kind of doctor is DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD)?
DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) located near Bala Cynwyd?
DR. MOHAMMED SHOAIB JAMEEL KIDWAI (MD) currently maps to Bala Cynwyd, Pennsylvania in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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