Active NPI
Arul Kannan, MD
- Family Medicine Physician
- New Hartford, NY
National Provider Identifier
1023008984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 211037-1
- Practice address
- 95 Genesee St
New Hartford, NY 13413-2357 - Phone
- (315) 724-7366
- Fax
- (315) 724-0293
- NPI assigned
- Oct 24, 2005
- Last updated
- Dec 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 211037-1 | NY | Primary |
Addresses
Primary practice location
95 Genesee St
New Hartford, NY 13413-2357
Mailing address
95 Genesee St
New Hartford, NY 13413-2357
Phone (315) 724-7366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01900747 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
95 Genesee St
New Hartford, NY 13413-2357
Phone (315) 724-7366
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211037-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arul & Arul Inc | Family Medicine | Current | Accepting new patients |
| Central Leatherstocking Medical, PLLC | Family Medicine | Past | Accepting new patients |
| MVHS Inc | Past | Accepting new patients |
Locations
95 Genesee St
New Hartford, NY 13413
Phone (315) 724-7366
943 US Highway 20
West Winfield, NY 13491
Phone (315) 822-3200
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- New Hartford, NY
- NPI 1811201601
-
- Family Medicine Physician
- West Winfield, NY
- NPI 1578585014
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Delta Medical
- Internal Medicine Physician
- Rome, NY
- NPI 1700121894
Hospital
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rome, NY
- NPI 1306807193
Hospital
-
dba Regional Wound Care Center
- Clinic/Center
- Rome, NY
- NPI 1356689004
Hospital
-
dba Camden Family Care
- Primary Care Clinic/Center
- Camden, NY
- NPI 1891113965
Hospital
-
- General Acute Care Hospital
- Rome, NY
- NPI 1376546440
-
dba Chestnut Commons
- Physical Therapy Clinic/Center
- Rome, NY
- NPI 1851489330
Hospital
-
- Home Health Agency
- Utica, NY
- NPI 1134104573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1023008984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 GENESEE ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132357",
"telephone_number": "315-724-7366",
"fax_number": "315-724-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 GENESEE ST",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134132357",
"telephone_number": "315-724-7366",
"fax_number": "315-724-0293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAN",
"first_name": "ARUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "211037-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01900747",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.