Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAITLYN MADUBUIKE PA
NPI 1447115167
Physician Assistant - Medical in Monroe, MI

Q: What is Kaitlyn Madubuike's NPI number?

The NPI number for Kaitlyn Madubuike is 1447115167. It was assigned to this individual provider in the NPPES registry on December 16, 2025.

Q: What is Kaitlyn Madubuike's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlyn Madubuike was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 December 16, 2025PECOS Enrolled

901 N MACOMB ST, MONROE, MI 48162(734) 654-2169 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Sep 10, 2026, Dec 16, 2025 (3 updates tracked since 2025).

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About Kaitlyn Madubuike Pa NPPES

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

KAITLYN MADUBUIKE PA (NPI 1447115167) is an individual medical provider in Monroe, Michigan, licensed in Michigan (5601014151) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Temperance.

NPPES Registry Identity

NPI1447115167

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKAITLYN MADUBUIKECredential: PA

Location Address901 N MACOMB STMonroe, MI 48162-3088

Mailing Address8765 Lewis AveTemperance, MI 48182-9583 · (734) 847-3802 · Fax (734) 293-0477

Phone(734) 654-2169

Sole ProprietorNo

Enumeration DateDecember 16, 2025

Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1447115167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MI · 5601014151

901 N MACOMB ST, Monroe, MI 48162

Open in Google Maps ↗

Secondary Practice Location 1

Location 18765 Lewis AveTemperance, MI 48182-9583 · Phone (734) 847-3802 · Fax (734) 293-0477

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Madubuike Pa 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 14

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

DR. BASMA MOHAMMED ABU-ASHOUR MD

Pediatrics

901 N MACOMB ST, SUITE 109
MONROE, MI 48162

Monroe County (734) 243-2410

FAMILY MEDICAL CENTER OF MICHIGAN,INC

Clinic/Center (Federally Qualified Health Center (FQHC))