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DR. MOHAMMED SHOAIB JAMEEL KIDWAI MD
NPI 1790969319
Internal Medicine in Bala Cynwyd, PA

Active since December 18, 2007PECOS Enrolled
333 E CITY AVE STE PL50, BALA CYNWYD, PA 19004(610) 667-1115 Get Directions Write a Review

NPPES record last updated: October 9, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mohammed Shoaib Jameel Kidwai Md NPPES

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

DR. MOHAMMED SHOAIB JAMEEL KIDWAI MD (NPI 1790969319) is an individual internal medicine provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD433668) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790969319
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MOHAMMED SHOAIB JAMEEL KIDWAICredential: MD
Location Address333 E CITY AVE STE PL50Bala Cynwyd, PA 19004-1505
Mailing Address4233 Remo Crescent RdBensalem, PA 19020-2976 · (215) 639-1492
Phone(610) 667-1115
Sole ProprietorNo
Enumeration DateDecember 18, 2007
Last NPPES UpdateOctober 9, 2018
✔ NPI 1790969319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD433668✔ Licensed in KY · TP985✔ Licensed in OH · 35.134997
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License TP985 (KY), 35.134997 (OH)
333 E CITY AVE STE PL50, Bala Cynwyd, PA 19004
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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)

Dr. Mohammed Shoaib Jameel Kidwai 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
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.

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 Mohammed Kidwai's NPI number?

The NPI number for Mohammed Kidwai is 1790969319. It was assigned to this individual provider in the NPPES registry on December 18, 2007.

Where is Mohammed Kidwai located?

Mohammed Kidwai practices at 333 E City Ave Ste Pl50, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-1115.

What is Mohammed Kidwai's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mohammed Kidwai enrolled in Medicare?

Yes. Mohammed Kidwai is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mohammed Kidwai was last updated on October 9, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.