WYATT ANDREW KAISER MD
NPI 1265226260
Student in an Organized Health Care Education/Training Program in Cincinnati, OH

Active since April 07, 2025PECOS Enrolled
2139 AUBURN AVE, SUITE 2170, CINCINNATI, OH 45219(513) 585-4079 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wyatt Andrew Kaiser Md NPPES

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

WYATT ANDREW KAISER MD (NPI 1265226260) is an individual student in an organized health care education/training program in Cincinnati, Ohio and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265226260
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWYATT ANDREW KAISERCredential: MD
Location Address2139 AUBURN AVE, SUITE 2170Cincinnati, OH 45219
Mailing Address2139 Auburn Ave Ste 2170Cincinnati, OH 45219-2906
Sole ProprietorNo
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
NPI 1265226260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

2139 AUBURN AVE, SUITE 2170, Cincinnati, OH 45219

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wyatt Andrew Kaiser 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

The NPI number assigned to this healthcare provider is 1265226260, enumerated as an "individual" on April 07, 2025.

The provider is located at 2139 AUBURN AVE, SUITE 2170 CINCINNATI, OH 45219 and the phone number is (513) 585-4079.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.