OTHELLO SAYE KWAIDAH CRNP
NPI 1477051514
Nurse Practitioner - Family in Philadelphia, PA

Q: What is Othello Kwaidah's NPI number?

The NPI number for Othello Kwaidah is 1477051514. It was assigned to this individual provider in the NPPES registry on January 23, 2018.

Q: What is Othello Kwaidah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Othello Kwaidah was last updated on June 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 23, 2018PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-4600(215) 707-9697 Get Directions Write a Review

NPPES record last updated: June 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Othello Saye Kwaidah Crnp NPPES

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

OTHELLO SAYE KWAIDAH CRNP (NPI 1477051514) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018472) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477051514

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameOTHELLO SAYE KWAIDAHCredential: CRNP

Location Address3401 N BROAD STPhiladelphia, PA 19140

Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-4600 · Fax (215) 707-9697

Phone(215) 707-4600

Fax(215) 707-9697

Sole ProprietorNo

Enumeration DateJanuary 23, 2018

Last NPPES UpdateJune 22, 2018

✔ NPI 1477051514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP018472

3401 N BROAD ST, Philadelphia, PA 19140

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Othello Saye Kwaidah Crnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. JAMIE L. GARFIELD MD

Internal Medicine