KAVITHA BADDAM (MD) – Family Medicine Physician, NPI 1790764553

KAVITHA BADDAM (MD) is a healthcare provider. based in Flint, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301073879 (MI). The NPI Number for KAVITHA BADDAM (MD) is 1790764553

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
KAVITHA BADDAM (MD)
NPI
1790764553
Phone
(810) 762-1020
Address
1515 W ATHERTON RD
Enumeration Date
11 January 2006
Last Update Date
26 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8107621020
Graduation Year
1994 (32 years ago)
PAC ID
3971646548
Group Practice PAC ID
7214288281
Professional Enrollment ID
I20100204000200
Address ID
MI485075300FL1515XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for KAVITHA BADDAM (MD)

  • 1515, West Atherton Road, Flint, Genesee County, Michigan, 48507, United States

    FLINT, MI 485075300

    Phone: (810) 762-1020

    Fax: (810) 762-1042

    Type: Location

  • 3495, South Center Road, Burton, Genesee County, Michigan, 48519, United States

    BURTON, MI 485191455

    Phone: (810) 424-2011

    Fax: (810) 249-4037

    Type: Mailing

  • 1096 S BELSAY RD STE E

    BURTON, MI 485091948

    Phone: (810) 762-1020

    Fax: (810) 762-1042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-02-04

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
I20100204000200IFamily PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes21699$0
99213Established patient office or other outpatient visit, 20-29 minutes208120$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
83036Hemoglobin a1c level4828$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4414$0
View full utilization report →

Insurance plans in this area (ZIP 48507)

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Provider's Procedures

KAVITHA BADDAM (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI82270Stool analysis for blood to screen for colon tumors1515

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: 7214288281View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physician AssistantMI
-MI
Physician AssistantMI
Nurse PractitionerMI
-MI
-MI
-MI
Internal MedicineMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

Where can patients find KAVITHA BADDAM (MD)'s NPI?
You can confirm KAVITHA BADDAM (MD) with NPI 1790764553; it appears in the national provider directory.
Is KAVITHA BADDAM (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does KAVITHA BADDAM (MD) treat or focus on?
Patients typically see KAVITHA BADDAM (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does KAVITHA BADDAM (MD) practice in Michigan?
You will see Flint, Michigan on file for KAVITHA BADDAM (MD) alongside any extra practice locations.
Is KAVITHA BADDAM (MD) a real provider?
This page reflects official NPPES data for NPI 1790764553. Always confirm identity and privileges with the practice and licensing boards.

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