KAITLIN LOUISE TABULA DO
NPI 1922701200
Student in an Organized Health Care Education/Training Program in Conroe, TX

Q: What is Kaitlin Tabula's NPI number?

The NPI number for Kaitlin Tabula is 1922701200. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Q: What is Kaitlin Tabula's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Tabula was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 24, 2023PECOS Enrolled

605 S CONROE MEDICAL DR, CONROE, TX 77304(936) 539-4004(936) 521-3964 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kaitlin Louise Tabula Do NPPES

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

KAITLIN LOUISE TABULA DO (NPI 1922701200) is an individual student in an organized health care education/training program in Conroe, Texas and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922701200

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKAITLIN LOUISE TABULACredential: DO

Location Address605 S CONROE MEDICAL DRConroe, TX 77304-4722

Mailing Address605 S Conroe Medical DrConroe, TX 77304-4722 · (936) 539-4004 · Fax (936) 539-3635

Phone(936) 539-4004

Fax(936) 521-3964

Sole ProprietorNo

Enumeration DateMarch 24, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1922701200 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.

605 S CONROE MEDICAL DR, Conroe, TX 77304

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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)

Kaitlin Louise Tabula Do 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.

RUSHAB HARSHADKUMAR PATEL MD

Hospitalist