Individual provider Active NPI

Sudha Rani Kailas, MD, PHD

  • Child & Adolescent Psychiatry Physician
  • Santa Fe, NM
National Provider Identifier
1295945897
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD2012-0061 Issued in NM
Practice address
413 Grant Ave Ste C
Santa Fe, NM 87501-1687
Phone
(505) 428-9504
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD2012-0061 NM Primary

Addresses

Primary practice location

413 Grant Ave Ste C
Santa Fe, NM 87501-1687

Mailing address

413 Grant Ave Ste C
Santa Fe, NM 87501-1687
Phone (505) 428-9504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD2012-0061NMMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sudha Rani Kailas LLC Child & Adolescent Psychiatry CurrentSince May 25, 2025 Accepting new patients

Locations

413 Grant Ave
Ste C
Santa Fe, NM 87501
Phone (505) 428-9504

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1295945897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 GRANT AVE STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011687",
            "telephone_number": "505-428-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 GRANT AVE STE C",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011687",
            "telephone_number": "505-428-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAILAS",
        "first_name": "SUDHA",
        "middle_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NM",
            "license": "MD2012-0061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.