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KEGHAM HAWATIAN
NPI 1962342675
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since March 31, 2026PECOS Enrolled
1830 E MONUMENT ST STE 6-100, BALTIMORE, MD 21287(410) 955-5107 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kegham Hawatian NPPES

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

KEGHAM HAWATIAN (NPI 1962342675) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1962342675
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEGHAM HAWATIAN
Location Address1830 E MONUMENT ST STE 6-100Baltimore, MD 21287-0020
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000 · Fax (410) 500-4266
Phone(410) 955-5107
Sole ProprietorNo
Enumeration DateMarch 31, 2026
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1962342675 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.
1830 E MONUMENT ST STE 6-100, Baltimore, MD 21287
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Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kegham Hawatian 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.

DOROTHY YIM
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
AUDREY REBECCA MCMURTRIE MEDICAL STUDENT
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
CHRISTINE WEI
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (610) 675-9354
GENEVIEVE MARIA PALMER DO
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
GHASSAN BOU SABA MD
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (202) 489-6605
AUSTIN MICHAEL DREWEK
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 955-5107
BLISS ROGERS
Emergency Medicine
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (410) 808-3890
LAUREN GARD MPH
Student in an Organized Health Care Education/Training Program
1830 E MONUMENT ST STE 6-100
BALTIMORE, MD 21287
Baltimore City (503) 703-4345

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 Kegham Hawatian's NPI number?

The NPI number for Kegham Hawatian is 1962342675. It was assigned to this individual provider in the NPPES registry on March 31, 2026.

Where is Kegham Hawatian located?

Kegham Hawatian practices at 1830 E Monument St Ste 6-100, Baltimore, MD 21287. The listed phone number is (410) 955-5107.

What is Kegham Hawatian's specialty?

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

Is Kegham Hawatian enrolled in Medicare?

Yes. Kegham Hawatian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kegham Hawatian was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.