MEDICARE: BT KINGDOM HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1922930163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BT KINGDOM HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2023 FIESBECK DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-2519
Country	:	US
Telephone Number	:	786-792-1274
Fax Number	:

Provider Business Practice Location Address
First Line	:	2023 FIESBECK DR
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47201-2519
Country	:	US
Telephone Number	:	786-792-1274
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MS. KATIA MARTHA BATISTA
Credential	:	FNP-C
Telephone Number	:	786-792-1274

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “BT KINGDOM HEALTHCARE LLC ” Practice Location

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