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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AYEESHA KATTUBADI
NPI 1013682004
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since August 11, 2021PECOS Enrolled
1830 E MONUMENT ST STE 416, BALTIMORE, MD 21287(410) 550-1800 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ayeesha Kattubadi NPPES

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

AYEESHA KATTUBADI (NPI 1013682004) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013682004
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAYEESHA KATTUBADI
Location Address1830 E MONUMENT ST STE 416Baltimore, MD 21287-0020
Mailing Address1501 Kings HwyShreveport, LA 71103-4228 · (318) 626-0434
Phone(410) 550-1800
Sole ProprietorYes
Enumeration DateAugust 11, 2021
Last NPPES UpdateJuly 5, 2026
NPPES CertifiedJuly 5, 2026
✔ NPI 1013682004 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
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.
1830 E MONUMENT ST STE 416, Baltimore, MD 21287
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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)

Ayeesha Kattubadi 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAI PRASAD DESIKAN MD
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (443) 927-3140
KATHERINE ELAINE WHITE MD
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (443) 927-3140
DR. DIPAL PATEL M.D., PH.D.
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (410) 614-2721
DR. MARIA ISABEL VILLEGAS KASTNER M.D.
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (410) 502-7070
ROSARIO MICHELLE LOPEZ MADRID MD
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (443) 927-3140
DR. REKHA KAMBHAMPATI M.D.
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (410) 955-5268
MS. KARLA GABRIELA CARIAS MARTINEZ MD
Internal Medicine
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (410) 502-7070
SAMIR GAUTAM MD
Internal Medicine (Nephrology)
1830 E MONUMENT ST STE 416
BALTIMORE, MD 21287
Baltimore City (410) 955-5268

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 Ayeesha Kattubadi's NPI number?

The NPI number for Ayeesha Kattubadi is 1013682004. It was assigned to this individual provider in the NPPES registry on August 11, 2021.

Where is Ayeesha Kattubadi located?

Ayeesha Kattubadi practices at 1830 E Monument St Ste 416, Baltimore, MD 21287. The listed phone number is (410) 550-1800.

What is Ayeesha Kattubadi's specialty?

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

Is Ayeesha Kattubadi enrolled in Medicare?

Yes. Ayeesha Kattubadi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ayeesha Kattubadi was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.