1. Home
  2. Directory
  3. New Jersey
  4. Camden
  5. Surgery
  6. NPI Profile

DR. DIANE GILLUM M.D
NPI 1174511091
Surgery in Camden, NJ

Active since October 13, 2005
82.96/100
CMS Quality Rating
2 COOPER PLAZA, 400 HADDON AVE, CAMDEN, NJ 08103(855) 632-2667 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2020, Mar 17, 2018 (2 updates tracked since 2018).

About Dr. Diane Gillum M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIANE GILLUM M.D (NPI 1174511091) is an individual surgery provider in Camden, New Jersey, licensed in New Jersey (25MA04930700) and active in the NPI registry since October 2005. She maintains a secondary practice location in Voorhees.

NPPES Registry Identity

NPI1174511091
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. DIANE GILLUMCredential: M.D
Location Address2 COOPER PLAZA, 400 HADDON AVECamden, NJ 08103-1461
Mailing Address1 Federal St Ste Sw200Camden, NJ 08103-1155 · (856) 356-4924
Phone(855) 632-2667
Sole ProprietorNo
Enumeration DateOctober 13, 2005
Last NPPES UpdateOctober 5, 20202 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
✔ NPI 1174511091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 25MA04930700
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 COOPER PLAZA, 400 HADDON AVE, Camden, NJ 08103
Open in Google Maps ↗

Secondary Practice Location 1

Location 11605 E Evesham Rd, Suite 2BVoorhees, NJ 08043-1437 · Phone (856) 424-8004 · Fax (856) 424-8007

Other Identifiers 1

Medicaid2395207NJ

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.83
Promoting Interoperability99
Improvement Activities40
Cost55.22

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 Diane Gillum's NPI number?

The NPI number for Diane Gillum is 1174511091. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Diane Gillum located?

Diane Gillum practices at 2 Cooper Plaza, 400 Haddon Ave, Camden, NJ 08103. The listed phone number is (855) 632-2667.

What is Diane Gillum's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Diane Gillum was last updated on October 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.