DR. KATHLEEN MARIE MCCUBBIN TRAYLOR MD
NPI 1649849324
Pediatrics - Pediatric Critical Care Medicine in Indianapolis, IN

Q: What is Kathleen Traylor's NPI number?

The NPI number for Kathleen Traylor is 1649849324. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Q: What is Kathleen Traylor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Traylor was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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 June 17, 2021PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 944-7065 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2024, Jun 18, 2024, Jun 17, 2021 (3 updates tracked since 2021).

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About Dr. Kathleen Marie Mccubbin Traylor Md NPPES

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

DR. KATHLEEN MARIE MCCUBBIN TRAYLOR MD (NPI 1649849324) is an individual pediatric critical care medicine provider in Indianapolis, Indiana, licensed in Indiana (01094015B) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649849324

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDR. KATHLEEN MARIE MCCUBBIN TRAYLORCredential: MD

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing Address705 Riley Hospital Dr Rm 4900Indianapolis, IN 46202-5109

Phone(317) 944-7065

Sole ProprietorNo

Enumeration DateJune 17, 2021

Last NPPES UpdateJuly 1, 20243 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1649849324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IN · 01094015B

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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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)

Dr. Kathleen Marie Mccubbin Traylor 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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)