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KAVITHA BADDAM MD NPI 1790764553


NPI Information

NPI: 1790764553
Provider Name: KAVITHA BADDAM, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: ASCENSION MEDICAL GROUP GENESYS

PECOS Registration: Yes

Address:
1515 W ATHERTON RD
FLINT, MI
ZIP 48507
Phone: (810) 762-1020
Get Directions

Kavitha Baddam, MD is a family medicine in Flint, MI with 30 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kavitha Baddam, MD NPI is 1790764553. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1515 W ATHERTON RD
FLINT, MI
ZIP 48507-300
Phone: (810) 762-1020
Fax: (810) 762-1042

The NPI 1790764553 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Stool analysis for blood to screen for colon tumors (HCPCS:82270)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Urinalysis, manual test (HCPCS:81002)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

The enumeration date for this NPI number is 1/11/2006 and was last updated on 12/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical Services4301073879MICHIGANNo
2207Q00000XFamily Medicine4301073879MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B56088081MEDICARE OSCAR/CERTIFICATIONMICHIGAN
2H76266MEDICARE UPINMICHIGAN
34428727MEDICAIDMICHIGAN
4KB073879OTHERBLUE CROSS BLUE SHIELD
54428736MEDICAIDMICHIGAN
64429751MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.