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KELLY TRAM BANH MD
NPI 1154173318
Student in an Organized Health Care Education/Training Program in Baton Rouge, LA

Active since April 02, 2024PECOS Enrolled
824 GRAND LAKES DR, BATON ROUGE, LA 70810(225) 202-4708 Get Directions Write a Review

NPPES record last updated: May 29, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kelly Tram Banh Md NPPES

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

KELLY TRAM BANH MD (NPI 1154173318) is an individual student in an organized health care education/training program in Baton Rouge, Louisiana and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154173318
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKELLY TRAM BANHCredential: MD
Location Address824 GRAND LAKES DRBaton Rouge, LA 70810-7316
Mailing Address824 Grand Lakes DrBaton Rouge, LA 70810-7316
Phone(225) 202-4708
Sole ProprietorYes
Enumeration DateApril 2, 2024
Last NPPES UpdateMay 29, 2024
NPPES CertifiedMay 29, 2024
✔ NPI 1154173318 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.
824 GRAND LAKES DR, Baton Rouge, LA 70810
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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)

Kelly Tram Banh 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.

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 Kelly Banh's NPI number?

The NPI number for Kelly Banh is 1154173318. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Kelly Banh located?

Kelly Banh practices at 824 Grand Lakes Dr, Baton Rouge, LA 70810. The listed phone number is (225) 202-4708.

What is Kelly Banh's specialty?

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

Is Kelly Banh enrolled in Medicare?

Yes. Kelly Banh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Banh was last updated on May 29, 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.