Individual provider Active NPI

Vishnu Kannabiran

  • Otolaryngology Physician
  • Chelmsford, MA
National Provider Identifier
1083905756
Registry record updated Mar 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
265940 Issued in MA
Practice address
3 Meeting House Rd
Chelmsford, MA 01824-2738
Phone
(978) 256-5557
Fax
(978) 256-1835
NPI assigned
Apr 28, 2011
Last updated
Mar 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 265940 MA Primary

Addresses

Primary practice location

3 Meeting House Rd
Chelmsford, MA 01824-2738

Mailing address

3 Meeting House Rd
Chelmsford, MA 01824-2738
Phone (978) 256-5557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160810001515 MA Practitioner - Otolaryngology 9638302664 Reassigns benefits to 2 organizations
I20161014001077 NH Practitioner - Otolaryngology 9638302664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Albany Medical College of Union University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massachusetts ENT Associates IncGroup PAC ID 6305891110, 20 clinicians

Practice addresses (Care Compare)

280 Main St
Suite 140
Nashua, NH 03060-2920
Phone (603) 594-3025

321 Billerica Rd
Suite 202
Chelmsford, MA 01824-4100
Phone (978) 256-5557

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
265940MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Massachusetts ENT Associates Inc Otolaryngology CurrentSince Jun 30, 2016 Accepting new patients
Massachusetts Ear Nose and Throat Associates 2 LLC Otolaryngology CurrentSince Aug 1, 2019 Accepting new patients
Northridge Surgical Suites, LLC Past Accepting new patients

Locations

321 Billerica Rd
Ste 202
Chelmsford, MA 01824
Phone (978) 256-5557

747 Main St
Ste 214
Concord, MA 01742
Phone (978) 256-5557

280 Main St
Ste 140
Nashua, NH 03060
Phone (603) 594-3025

Interoperability endpoints

  • Direct secure messaging: vkannabiran31437@tuftsmedicine.direct-ci.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1083905756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEETING HOUSE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242738",
            "telephone_number": "978-256-5557",
            "fax_number": "978-256-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEETING HOUSE RD",
            "city": "CHELMSFORD",
            "state": "MA",
            "postal_code": "018242738",
            "telephone_number": "978-256-5557",
            "fax_number": "978-256-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNABIRAN",
        "first_name": "VISHNU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-28",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "265940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelmsford, MA

Sources for this page

Verify at the official NPI Registry.