ABDULLAH KILIC
NPI 1053007492
Student in an Organized Health Care Education/Training Program in Clemmons, NC
About Abdullah Kilic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABDULLAH KILIC (NPI 1053007492) is an individual student in an organized health care education/training program in Clemmons, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Abdullah Kilic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Abdullah Kilic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winston Salem, NC 27157
- Reassigned Medicare billing, North Carolina enrollment
- 3,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Abdullah Kilic's NPI number?
The NPI number for Abdullah Kilic is 1053007492. It was assigned to this individual provider in the NPPES registry on April 17, 2023.
Where is Abdullah Kilic located?
Abdullah Kilic practices at 1645 Binkley Farm Rd, Clemmons, NC 27012. The listed phone number is (336) 705-2145.
What is Abdullah Kilic's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Abdullah Kilic enrolled in Medicare?
Yes. Abdullah Kilic is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Abdullah Kilic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Abdullah Kilic reassigns Medicare benefits to Wake Forest University Health Sciences (Winston Salem, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Abdullah Kilic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Abdullah Kilic was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Abdullah Kilic · NPI 1053007492
Student in an Organized Health Care Education/Training Program provider in Clemmons, North Carolina. Individual provider, active in the CMS NPPES registry since April 17, 2023.
## Identity
- **NPI:** 1053007492 (Entity type: Individual)
- **Enumerated:** April 17, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1645 BINKLEY FARM RD, Clemmons, NC 27012-8667
- **Phone:** (336) 705-2145
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Wake Forest University Health Sciences (NPI 1003803032, Winston Salem, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053007492) · Data from the CMS NPPES public registry.