Nirmala Kannan, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

ME129839 Issued in FL

Practice address

1090 La Playa Dr
Hayward, CA 94545-2142

Phone

(510) 785-5555

Fax

(510) 280-3116

NPI assigned

Oct 9, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  FL, Single Specialty

  Medicare reassignment NPD
• Orlando Inpatient Medicine, PA

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1902287899

  Single Specialty

  Medicare reassignment NPD
• Nirmala Kannan, M.D.

  • Internal Medicine Physician
  • Hayward, CA
  • NPI 1306925680

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1114014172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S HIAWASSEE RD",
            "address_2": "STE 107",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355706",
            "telephone_number": "650-574-3778",
            "fax_number": "650-574-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 LA PLAYA DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945452142",
            "telephone_number": "510-785-5555",
            "fax_number": "510-280-3116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNAN",
        "first_name": "NIRMALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME129839",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A52786",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A527860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaiser Permanente
• Shraddha P Kalgutkar
• Kaarel T. Kaljot, M.D.
• Mani M Kammula, PHARMD
• Gunvinder Kang
• Ling Mey Kao, PHARM.D.
• Kapila Voice and Speech Services, Professional Corporation
• Rishi Kapila, M.D.
• Ruchi Kapila, M.S., CCC-SLP
• Arpana Karki

• Hospitalist Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.