KAOSOLUCHI ENENDU MD
NPI 1184204695
Psychiatry & Neurology - Psychiatry in Danville, PA

Q: What is Kaosoluchi Enendu's NPI number?

The NPI number for Kaosoluchi Enendu is 1184204695. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Q: What is Kaosoluchi Enendu's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kaosoluchi Enendu was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment

100 N ACADEMY AVE, DANVILLE, PA 17822(570) 271-6516(570) 271-5814 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 23, 2026, Mar 30, 2026, Feb 2, 2026 and 3 more (6 updates tracked since 2021).

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About Kaosoluchi Enendu Md NPPES

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

KAOSOLUCHI ENENDU MD (NPI 1184204695) is an individual psychiatry provider in Danville, Pennsylvania, licensed in California (A197583) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (2021).

NPPES Registry Identity

NPI1184204695

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKAOSOLUCHI ENENDUCredential: MD

Location Address100 N ACADEMY AVEDanville, PA 17822-9800

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6516 · Fax (570) 271-5814

Phone(570) 271-6516

Fax(570) 271-5814

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 2021

Enumeration DateApril 9, 2021

Last NPPES UpdateApril 23, 20266 updates tracked since enumeration

NPPES CertifiedApril 23, 2026

✔ NPI 1184204695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in CA · A197583✔ Licensed in PA · MD494104

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

100 N ACADEMY AVE, Danville, PA 17822

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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 and accepts Medicare assignment

Kaosoluchi Enendu Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092104802

PECOS Enrollment IDI20231207000827, I20250731001247

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$166.87 typical visit price

range $54.64 – $166.87

Typical copayment $41.71 (range $13.66 – $41.71)

Most-billed visit code 99205

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. TARA JEAN LOUX MD

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