Individual provider Active NPI

Payam Katebi Kashi, MD, PHD

  • Student in an Organized Health Care Education/Training Program
  • Baltimore, MD
National Provider Identifier
1790054518
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
3270 Issued in MD
Practice address
600 N. Wolfe St.
Phipps 281
Baltimore, MD 21287-2128
Phone
(410) 955-8240
NPI assigned
Dec 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 3270 MD Primary

Addresses

Primary practice location

600 N. Wolfe St.
Phipps 281
Baltimore, MD 21287-2128

Mailing address

600 N. Wolfe St.
Phipps 281
Baltimore, MD 21287-4577
Phone (410) 955-8240

Other names 1

  • Payam Katebi Kashi Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Baltimore Direct
CONNECT URL Baltimore Health Information Exchange (HIE)

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
3270MDMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1790054518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N. WOLFE ST.",
            "address_2": "PHIPPS 281",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212874577",
            "telephone_number": "410-955-8240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N. WOLFE ST.",
            "address_2": "PHIPPS 281",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212872128",
            "telephone_number": "410-955-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATEBI KASHI",
        "first_name": "PAYAM",
        "credential": "MD, PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MD",
            "license": "3270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Baltimore",
            "affiliation": "N",
            "endpointDescription": "EMR-EPIC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 N. Wolfe St.",
            "address_2": "Phipps 281",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212872128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Baltimore",
            "affiliation": "N",
            "endpointDescription": "EMR-EHS",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 N. Wolfe St.",
            "address_2": "Phipps 281",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212872128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAYAM",
            "last_name": "KATEBI KASHI",
            "credential": "MD, PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.