Individual provider Active NPI

Kandan Kulandaivel, M.D.

  • Neurology Physician
  • Abington, PA
National Provider Identifier
1104089119
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD436179 Issued in PA
Practice address
1151 Old York Rd Ste 200
Abington, PA 19001-3816
Phone
(215) 957-9250
Fax
(215) 957-9254
NPI assigned
Jul 9, 2008
Last updated
Jan 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD436179 PA Primary

Addresses

Primary practice location

1151 Old York Rd Ste 200
Abington, PA 19001-3816

Mailing address

1151 Old York Rd Ste 200
Abington, PA 19001-3816
Phone (215) 957-9250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131018000620 PA Practitioner - Neurology 6507059110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Neurological Associates LTDGroup PAC ID 3274518444, 12 clinicians

Practice addresses (Care Compare)

2325 Maryland Rd
Suite 120
Willow Grove, PA 19090-1758
Phone (215) 957-9250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.91 of 100Reported as group
Quality
71.47
Promoting interoperability
82
Improvement activities
40
Cost
90.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Neurological Associates LTD Neurology CurrentSince Oct 1, 2013 Accepting new patients
Amh Medical Staff Service Fund CurrentSince Aug 11, 2014 Accepting new patients
Neurology Associates of Eastern Maine, P.a. Neurology Past Accepting new patients

Locations

1151 Old York Rd
Ste 200
Abington, PA 19001
Phone (215) 957-9250

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 301
Abington, PA 19001
Phone (215) 481-3133

2325 Maryland Rd
Ste 120
Willow Grove, PA 19090
Phone (215) 957-9250

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIGIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AIGIAA/Endpoint/AIGIAA

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 3

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": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1104089119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 OLD YORK RD STE 200",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013816",
            "telephone_number": "215-957-9250",
            "fax_number": "215-957-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 OLD YORK RD STE 200",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013816",
            "telephone_number": "215-957-9250",
            "fax_number": "215-957-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULANDAIVEL",
        "first_name": "KANDAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD436179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.