Kavitha Baddam, MD
Family Medicine in Burton, MI. Individual provider (NPI-1).
NPI number1790764553
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1790764553
- Entity type
- Individual (NPI-1)
- Name
- Kavitha Baddam
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2006
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 4301073879 | MI | Yes |
| 207PE0004X | Emergency Medicine, Emergency Medical Services | 4301073879 | MI |
Practice location
1096 S Belsay Rd Ste EBurton, MI 48509-1948
Phone 810-762-1020 · Fax 810-762-1042
Mailing address
3495 S Center RdBurton, MI 48519-1455
Phone 810-424-2011 · Fax 810-249-4037
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