DR. AYOOSH KAKKAR (MD) – Psychiatry Physician, NPI 1669992137

DR. AYOOSH KAKKAR (MD) is a healthcare provider. based in Augusta, Georgia. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 009629 (GA). The NPI Number for DR. AYOOSH KAKKAR (MD) is 1669992137

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. AYOOSH KAKKAR (MD)
NPI
1669992137
Phone
(706) 721-7005
Address
1120 15th St
Enumeration Date
26 June 2017
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8056536434
Graduation Year
2016 (10 years ago)
PAC ID
9739453838
Group Practice PAC ID
0042629701
Professional Enrollment ID
I20220621001647
Address ID
CA930011411VE801XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

832 PSYCHIATRY in GA

Provider Addresses for DR. AYOOSH KAKKAR (MD)

  • 1120 15th St

    Augusta, GA 309120004

    Phone: (706) 721-7005

    Type: Location

  • 390 N Pacific Coast Hwy Ste 2060

    El Segundo, CA 902454401

    Phone: (404) 509-5750

    Type: Location

  • 801 SENECA ST

    VENTURA, CA 930011411

    Phone: (805) 653-6434

    Type: Location

  • 390 N PACIFIC COAST HWY STE 2060

    EL SEGUNDO, CA 902454401

    Phone: (404) 509-5750

    Type: Location

  • Augusta University Medical Center, 1120, 15th Street, Augusta, Richmond County, Georgia, 30912, United States

    AUGUSTA, GA 309120004

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 91 Open Payments records for all available years, with a total value of $3,014.

Total Amount is formed as General ($3,014) + Research ($0) + Ownership ($0) = $3,014.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($837).

Total Amount

$3,014

General + Research + Ownership

Payments

91

Total payment records

General Amount

$3,014

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220621001647IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30912)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042629701View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
P S Y C H I A T R YUT
P S Y C H I A T R YNV

Reviews

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Frequently asked questions

How do I look up DR. AYOOSH KAKKAR (MD) by NPI?
Use NPI 1669992137 when you need to reference DR. AYOOSH KAKKAR (MD) in forms, claims, or directories.
Is DR. AYOOSH KAKKAR (MD) currently active in the NPI registry?
CMS-published data lists DR. AYOOSH KAKKAR (MD) as an active registrant.
Can you summarize DR. AYOOSH KAKKAR (MD)'s specialty in plain language?
Clinically, the directory lists DR. AYOOSH KAKKAR (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Does DR. AYOOSH KAKKAR (MD) practice in Georgia?
You will see Augusta, Georgia on file for DR. AYOOSH KAKKAR (MD) alongside any extra practice locations.
What if Augusta, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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