Individual provider Active NPI

Kadie Marie Nausha, MD

  • Otolaryngology Physician
  • Rancho Mirage, CA
National Provider Identifier
1528625951
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A204117 Issued in CA
Practice address
71687 Highway 111 Ste 101
Rancho Mirage, CA 92270-4515
Phone
(760) 340-4566
Fax
(760) 340-2481
NPI assigned
May 21, 2019
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Otolaryngology Physician 207Y00000X A204117 CA Primary

Addresses

Primary practice location

71687 Highway 111 Ste 101
Rancho Mirage, CA 92270-4515

Mailing address

71687 Highway 111 Ste 101
Rancho Mirage, CA 92270-4515
Phone (760) 340-4566

Other practice location 1

1901 Floyd St
Sarasota, FL 34239-2932
Phone (917) 366-9222

Other practice location 2

800 Stanton L Young Blvd
Oklahoma City, OK 73104-5018
Phone (405) 271-5504 ext. 47904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240703003297 FL Practitioner - Otolaryngology 3173067964 Reassigns benefits to 1 organization
I20250815003346 CA Practitioner - Otolaryngology 3173067964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical Branch at Galveston, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Ear Nose and Throat Medical Group IncGroup PAC ID 6002909322, 8 clinicians

Practice addresses (Care Compare)

71687 Hwy 111
Suite 101
Rancho Mirage, CA 92270-4515
Phone (760) 340-4566

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A204117CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SMH Physician Services Inc CurrentSince Jul 22, 2024 Accepting new patients
Desert Ear, Nose & Throat Medical Group, Inc. Otolaryngology CurrentSince Sep 2, 2025 Accepting new patients

Locations

71687 Highway 111
Ste 101
Rancho Mirage, CA 92270
Phone (760) 340-4566

1901 Floyd St
Sarasota, FL 34239
Phone (941) 366-9222

1901 Floyd St
Ste 304
Sarasota, FL 34239
Phone (941) 261-0500

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1528625951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71687 HIGHWAY 111 STE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704515",
            "telephone_number": "760-340-4566",
            "fax_number": "760-340-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71687 HIGHWAY 111 STE 101",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704515",
            "telephone_number": "760-340-4566",
            "fax_number": "760-340-2481"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Floyd St",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342392932",
            "country_code": "US",
            "telephone_number": "917-366-9222",
            "fax_number": "941-365-2269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Stanton L Young Blvd",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045018",
            "country_code": "US",
            "telephone_number": "405-271-5504 x47904",
            "fax_number": "405-271-3248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAUSHA",
        "first_name": "KADIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A204117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.