Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ali R Kadkhoda, DO

Individual provider Family Medicine Physician · NPI 1699094607

Dr. Ali R Kadkhoda, DO is a Family Practice in Bala Cynwyd, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2009, 17 years ago. Practices with Main Line Healthcare, a 1,153-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

301 E City Ave Ste 100
Bala Cynwyd, PA 19004-1708
Phone: (610) 617-1300
Fax: (610) 617-0199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS015315 (PA)

Record details

NPI number1699094607
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2010
Last updated in NPPESFebruary 6, 2015
Mailing address301 E City Ave, Suite 100, Bala Cynwyd, PA 19004-1708

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2009 (17 years in practice)
Group practice Main Line Healthcare — 1153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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