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MAYA MEDHA SUBBANNA MD
NPI 1679367791
Student in an Organized Health Care Education/Training Program in Lexington, KY

Active since April 04, 2025PECOS Enrolled
245 FOUNTAIN CT STE 215, LEXINGTON, KY 40509(859) 323-6861(859) 323-1194 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Maya Medha Subbanna Md NPPES

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

MAYA MEDHA SUBBANNA MD (NPI 1679367791) is an individual student in an organized health care education/training program in Lexington, Kentucky and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679367791
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMAYA MEDHA SUBBANNACredential: MD
Location Address245 FOUNTAIN CT STE 215Lexington, KY 40509-2792
Mailing Address245 Fountain Ct Ste 215Lexington, KY 40509-2792 · (859) 323-6861 · Fax (859) 323-1194
Phone(859) 323-6861
Fax(859) 323-1194
Sole ProprietorNo
Enumeration DateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1679367791 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.
245 FOUNTAIN CT STE 215, Lexington, KY 40509
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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)

Maya Medha Subbanna 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.

SARAH STEVENS
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (859) 323-6861
MR. THOMAS KELLY KUEHN DO
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (859) 323-6861
MACKENZIE NICOLE GRAEBE MD
Student in an Organized Health Care Education/Training Program
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (859) 323-6861
ALEXIS BETH LUMM DO
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (858) 323-6021
REBECCA JEAN LANK
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (859) 323-6861
LORISSA SIMPSON
Student in an Organized Health Care Education/Training Program
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (859) 323-6861
LILLIAN JEAN SVETE MD
Psychiatry & Neurology (Psychiatry)
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (859) 323-6861
SARAH WILSON MD
Student in an Organized Health Care Education/Training Program
245 FOUNTAIN CT STE 215
LEXINGTON, KY 40509
Fayette County (859) 323-6861

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 Subbanna's NPI number?

The NPI number for Maya Subbanna is 1679367791. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Maya Subbanna located?

Maya Subbanna practices at 245 Fountain Ct Ste 215, Lexington, KY 40509. The listed phone number is (859) 323-6861.

What is Maya Subbanna'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 Subbanna enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Maya Subbanna was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.