MAYA QUTOB
NPI 1679251656
Student in an Organized Health Care Education/Training Program in West Reading, PA

Active since July 10, 2023PECOS Enrolled
420 S 5TH AVE, WEST READING, PA 19611(484) 628-8000 Get Directions Write a Review

NPPES record last updated: July 8, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 8, 2025, Jul 10, 2023 (2 updates tracked since 2023).

About Maya Qutob NPPES

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

MAYA QUTOB (NPI 1679251656) is an individual student in an organized health care education/training program in West Reading, Pennsylvania, licensed in Pennsylvania (OT022664) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1679251656
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAYA QUTOB
Location Address420 S 5TH AVEWest Reading, PA 19611-2143
Mailing AddressPo Box 13579Reading, PA 19612-3579
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 10, 2023
Last NPPES UpdateJuly 8, 20252 updates tracked since enumeration
NPPES CertifiedJuly 8, 2025
✔ NPI 1679251656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License✔ Licensed in PA · OT022664
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.
420 S 5TH AVE, West Reading, PA 19611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maya Qutob is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739656497
PECOS Enrollment IDI20260430000723
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.

Medicare Billing Reassignment

Medicare enrollment records show Maya Qutob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adult Mental Health
201 WELLNESS WAY
Reading, PA 19605
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 32 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Emergency Medicine
420 S 5TH AVE
WEST READING, PA 19611

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 Maya Qutob's NPI number?

The NPI number for Maya Qutob is 1679251656. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Maya Qutob located?

Maya Qutob practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-8000.

What is Maya Qutob's specialty?

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

Is Maya Qutob enrolled in Medicare?

Yes. Maya Qutob is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maya Qutob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maya Qutob reassigns Medicare benefits to Reading Behavioral Healthcare, LLC (Reading, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maya Qutob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maya Qutob was last updated on July 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.