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PHANI KUMAR KATHARI MD
NPI 1629333679
Student in an Organized Health Care Education/Training Program in Charleston, WV

Active since July 05, 2012PECOS Enrolled
3110 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-5590(304) 388-8238 Get Directions Write a Review

NPPES record last updated: July 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phani Kumar Kathari Md NPPES

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

PHANI KUMAR KATHARI MD (NPI 1629333679) is an individual student in an organized health care education/training program in Charleston, West Virginia and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629333679
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePHANI KUMAR KATHARICredential: MD
Location Address3110 MACCORKLE AVE SECharleston, WV 25304-1210
Mailing Address3110 Maccorkle Ave SeCharleston, WV 25304-1210 · (304) 388-5590 · Fax (304) 388-8238
Phone(304) 388-5590
Fax(304) 388-8238
Sole ProprietorNo
Enumeration DateJuly 5, 2012
✔ NPI 1629333679 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.

3110 MACCORKLE AVE SE, Charleston, WV 25304
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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)

Phani Kumar Kathari 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.

DR. JULIA MARGARITA CRUZ MD
Internal Medicine (Hematology & Oncology)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1315
TERESA GAYLE WAUGH RN, CDE
Registered Nurse (Diabetes Educator)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-5555
DR. KRISTY HOLMES LUCAS PHARM.D.
Pharmacist (Pharmacotherapy)
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 347-1377
DR. CASSANDRA LOIS TAYLOR CRNA, DNP
Nurse Anesthetist, Certified Registered
3110 MACCORKLE AVE SE, ROOM 2041
CHARLESTON, WV 25304
Kanawha County (304) 388-9952
DR. SEBASTIAN FRANCIS
Emergency Medicine
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-9948
STEPHEN M HASS MD
Surgery (Vascular Surgery)
3110 MACCORKLE AVE SE, DEPT OF SURGERY WVU
CHARLESTON, WV 25304
Kanawha County (304) 388-4884
LAUREN RENEE JONES
Student in an Organized Health Care Education/Training Program
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-9948
DR. MARISSA FAYE TYSIAK PHARM. D.
Student in an Organized Health Care Education/Training Program
3110 MACCORKLE AVE SE
CHARLESTON, WV 25304
Kanawha County (304) 388-9948

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 Phani Kumar Kathari's NPI number?

The NPI number for Phani Kumar Kathari is 1629333679. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Phani Kumar Kathari located?

Phani Kumar Kathari practices at 3110 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5590.

What is Phani Kumar Kathari's specialty?

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

Is Phani Kumar Kathari enrolled in Medicare?

Yes. Phani Kumar Kathari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phani Kumar Kathari was last updated on July 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.