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

Dr. Hassan Jalil Kidwai, DO

Individual provider Internal Medicine Physician · NPI 1811286909

Dr. Hassan Jalil Kidwai, DO is an Internal Medicine in Stony Brook, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2011, 15 years ago. Practices with Kaiser Foundation Health Plan of the Mid Atlantic States, Inc, a 1,934-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
15
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NJ
In the registry since
2011
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 Partly verified

Some contact details are missing from the federal record.

Stony Brook University Hospital Dept OF Medicine Hsc T16
Stony Brook, NY 11794-8160
Phone: (631) 444-4000
Fax: (631) 444-2493
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MB09510700 (NJ)

Record details

NPI number1811286909
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2011
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2011 (15 years in practice)
Group practice Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc — 1934 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Stony Brook