KILSY CUELLO PICHARDO MD – NPI #1720407588
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

KILSY CUELLO PICHARDO is a physician located in CARROLLTON, GA. NPPES has assigned the NPI number 1720407588 to KILSY CUELLO PICHARDO on April 09, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 7 years ago on Jun 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KILSY CUELLO PICHARDO below.

NPI Profile for
KILSY CUELLO PICHARDO

NPI Number
1720407588
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KILSY CUELLO PICHARDO
Credentials
MD
Primary location
157 CLINIC AVE STE 203
CARROLLTON, GA 30117-4454
Phone: (770) 832-0429 Fax: (770) 838-9108
Mailing address
157 CLINIC AVE
STE 203
CARROLLTON, GA 30117-4454
Phone: (770) 832-0429 Fax: (770) 838-9108
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for KILSY CUELLO PICHARDO

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA003164765B
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)		 GA 77453
208D00000X
- General Practice		 PR 030553-R
207R00000X
- Internal Medicine		 GA 77453

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KILSY CUELLO PICHARDO is affiliated with the following medical group(s):
  • HOSPITAL
    • HIGGINS GENERAL HOSPITAL
      200 ALLEN MEMORIAL DRIVE
      BREMEN, GA 30110
    • TANNER MEDICAL CENTER - CARROLLTON
      705 DIXIE STREET
      CARROLLTON, GA 30117
    • TANNER MEDICAL CENTER VILLA RICA
      601 DALLAS HIGHWAY
      VILLA RICA, GA 30180
    • TANNER MEDICAL CENTER-EAST ALABAMA
      1032 MAIN STREET SOUTH
      WEDOWEE, AL 36278
  • DIALYSIS FACILITY
    • BIO-MEDICAL APPLICATIONS OF GEORGIA INC
      130 Parkwood Circle
      Carrollton, GA 30117
    • FMC DOUGLAS COUNTY
      4645 TIMBER RIDGE ROAD
      DOUGLASVILLE, GA 30135
    • FMCNA VILLA RICA
      130 PROSPECTOR DR
      VILLA RICA, GA 30180
    • FRESENIUS MEDICAL CARE BREMEN
      108 REDDING DRIVE
      BREMEN, GA 30110
    • FRESENIUS MEDICAL CARE CARROL COUNTY
      157 CLINIC AVENUE
      CARROLLTON, GA 30117

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