KAUSHIK KONDUBHATLA MD
NPI 1295485290
Student in an Organized Health Care Education/Training Program in Albuquerque, NM

Active since March 24, 2022PECOS Enrolled
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131(505) 272-4661 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 30, 2025, Jun 24, 2025, Mar 11, 2025 and 2 more (5 updates tracked since 2022).

About Kaushik Kondubhatla Md NPPES

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

KAUSHIK KONDUBHATLA MD (NPI 1295485290) is an individual student in an organized health care education/training program in Albuquerque, New Mexico, licensed in New Mexico (RS2024-0022) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295485290
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKAUSHIK KONDUBHATLACredential: MD
Location AddressMSC10 5550 1 UNIVERSITY OF NEW MEXICOAlbuquerque, NM 87131-5474
Mailing AddressMsc10 5550 1 University Of New MexicoAlbuquerque, NM 87131-0001 · (505) 272-4661
Sole ProprietorYes
Enumeration DateMarch 24, 2022
Last NPPES UpdateJune 30, 20255 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1295485290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in NM · RS2024-0022
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.
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, Albuquerque, NM 87131

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaushik Kondubhatla 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 20

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

Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO, PALLIATIVE CARE DEPARTMENT
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Internal Medicine
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131
Student in an Organized Health Care Education/Training Program
MSC10 5550 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE, NM 87131

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 Kaushik Kondubhatla's NPI number?

The NPI number for Kaushik Kondubhatla is 1295485290. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Kaushik Kondubhatla located?

Kaushik Kondubhatla practices at Msc10 5550 1 University Of New Mexico, Albuquerque, NM 87131. The listed phone number is (505) 272-4661.

What is Kaushik Kondubhatla's specialty?

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

Is Kaushik Kondubhatla enrolled in Medicare?

Yes. Kaushik Kondubhatla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaushik Kondubhatla was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.