1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KIAN WADDELL MD
NPI 1366237414
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 10, 2025PECOS Enrolled
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107(215) 955-8420 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kian Waddell Md NPPES

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

KIAN WADDELL MD (NPI 1366237414) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366237414
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKIAN WADDELLCredential: MD
Location Address833 CHESTNUT ST STE 210Philadelphia, PA 19107-4405
Mailing Address833 Chestnut St Ste 210Philadelphia, PA 19107-4405 · (215) 955-5638
Phone(215) 955-8420
Sole ProprietorNo
Enumeration DateApril 10, 2025
NPPES CertifiedApril 10, 2025
✔ NPI 1366237414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
833 CHESTNUT ST STE 210, Philadelphia, PA 19107
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kian Waddell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC GRAMSZLO
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5638
HEATHER KETTLEWELL MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
VICTORIA SANDERS
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-5638
MR. LIAM MULLIGAN LCSW
Social Worker (Clinical)
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8962
DR. MEGHAN O'ROURKE DO
Psychiatry & Neurology (Psychiatry)
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
ETHAN REED SIEGEL DO
Psychiatry & Neurology (Psychiatry)
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
CHLOE HAM MD
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420
ANDIE REBECCA BELKOFF
Student in an Organized Health Care Education/Training Program
833 CHESTNUT ST STE 210
PHILADELPHIA, PA 19107
Philadelphia County (215) 955-8420

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 Kian Waddell's NPI number?

The NPI number for Kian Waddell is 1366237414. It was assigned to this individual provider in the NPPES registry on April 10, 2025.

Where is Kian Waddell located?

Kian Waddell practices at 833 Chestnut St Ste 210, Philadelphia, PA 19107. The listed phone number is (215) 955-8420.

What is Kian Waddell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kian Waddell enrolled in Medicare?

Yes. Kian Waddell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kian Waddell was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.