Active NPI
Kylash Konanur, D.O.
- Anesthesiology Physician
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 036-148742
- Practice address
- 7031 SW 62ND Ave
South Miami, FL 33143 - Phone
- (305) 284-7761
- NPI assigned
- Jun 30, 2014
- Last updated
- Apr 25, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Anesthesiology Physician | 207L00000X | 34.013155 | OH | |
| Anesthesiology Physician | 207L00000X | 036-148742 | IL | Primary |
Addresses
Primary practice location
7031 SW 62ND Ave
South Miami, FL 33143
Mailing address
700 Ackerman Rd Ste 570
Columbus, OH 43202-1579
Phone (614) 293-8487
Other practice location 1
410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-8487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Anesthesiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10719 160TH St
Orland Park, IL 60467-5541
Phone (708) 226-3300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-148742 | IL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lenox Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Associates, P.C. | Anesthesiology | Current | Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Anesthesiology | Current | Accepting new patients |
Locations
403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999
678 Cedar Crossings Dr
New Lenox, IL 60451
Phone (708) 499-5678
10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
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.
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
Anesthesiology
-
- Anesthesiology Physician
- New Lenox, IL
- NPI 1093204778
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1093120974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 570",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021579",
"telephone_number": "614-293-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7031 SW 62ND AVE",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "33143",
"telephone_number": "305-284-7761"
}
],
"practiceLocations": [
{
"address_1": "410 W 10th Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432101240",
"country_code": "US",
"telephone_number": "614-293-8487",
"fax_number": "614-293-8153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONANUR",
"first_name": "KYLASH",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-30",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "34.013155",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036-148742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.