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KATINA SAMIRA KASSICIEH MD
NPI 1073254629
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since April 06, 2022PECOS Enrolled
1 UNIVERSITY OF NEW MEXICO # 105550, ALBUQUERQUE, NM 87131(505) 272-4661(505) 272-0475 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2024, Apr 6, 2022 (2 updates tracked since 2022).

About Katina Samira Kassicieh Md NPPES

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

KATINA SAMIRA KASSICIEH MD (NPI 1073254629) is an individual student in an organized health care education/training program in Albuquerque, New Mexico and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073254629
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATINA SAMIRA KASSICIEHCredential: MD
Location Address1 UNIVERSITY OF NEW MEXICO # 105550Albuquerque, NM 87131-0001
Mailing Address1 University Of New Mexico Msc10 6000Albuquerque, NM 87131-0001 · (505) 272-2610
Phone(505) 272-4661
Fax(505) 272-0475
Sole ProprietorNo
Enumeration DateApril 6, 2022
Last NPPES UpdateJuly 12, 20242 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1073254629 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.
1 UNIVERSITY OF NEW MEXICO # 105550, Albuquerque, NM 87131
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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)

Katina Samira Kassicieh 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 8

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

DR. ASMA QAMRUDDIN MD
Preventive Medicine (Public Health & General Preventive Medicine)
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-1443
KENNETH ARMAMENTO VILLAREAL
Internal Medicine (Infectious Disease)
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (314) 412-0695
SARA ASSAF M.D.
Internal Medicine (Pulmonary Disease)
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (314) 445-4267
DR. BRADEN RANDALL HALE MD, MPH
Internal Medicine (Infectious Disease)
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-5666
AHSAN IQBAL M.D.
Internal Medicine (Rheumatology)
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4761
DR. CHRISTOPHER SCOTT PIROMALLI D.O.
Internal Medicine (Hospice and Palliative Medicine)
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4868
SURYA DEEPIKA APPALLA MD
Pediatrics (Sleep Medicine)
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-4661
DR. MONIQUE DAVIS DO
Student in an Organized Health Care Education/Training Program
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 87131
Bernalillo County (505) 272-6331

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 Katina Kassicieh's NPI number?

The NPI number for Katina Kassicieh is 1073254629. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Katina Kassicieh located?

Katina Kassicieh practices at 1 University Of New Mexico # 105550, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Katina Kassicieh's specialty?

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

Is Katina Kassicieh enrolled in Medicare?

Yes. Katina Kassicieh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katina Kassicieh was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.