DELALI KEVIN KWAMIN MD
NPI 1861055816
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Delali Kwamin's NPI number?

The NPI number for Delali Kwamin is 1861055816. It was assigned to this individual provider in the NPPES registry on April 16, 2019.

Q: What is Delali Kwamin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Delali Kwamin was last updated on June 24, 2021. 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.

Active since April 16, 2019PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(800) 836-7536 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2021, Apr 18, 2019 (2 updates tracked since 2019).

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About Delali Kevin Kwamin Md NPPES

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

DELALI KEVIN KWAMIN MD (NPI 1861055816) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT222608) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861055816

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDELALI KEVIN KWAMINCredential: MD

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address9953 E Hill DrLorton, VA 22079-2431 · (571) 344-0013

Phone(800) 836-7536

Sole ProprietorYes

Enumeration DateApril 16, 2019

Last NPPES UpdateJune 24, 20212 updates tracked since enumeration

NPPES CertifiedJune 24, 2021

✔ NPI 1861055816 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

Licenses✔ Licensed in PA · MT222608✔ Licensed in NC · 251181

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.

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)

Delali Kevin Kwamin 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.

DR. JAMIE L. GARFIELD MD

Internal Medicine