Active NPI
Rajasekhar Kannali, M.D.
- Psychiatry Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2017-00073
- Practice address
- 1900 Randolph Rd Ste 800
Charlotte, NC 28207-1110 - Phone
- (704) 384-1246
- NPI assigned
- Jul 24, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 126916 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 2017-00073 | NC | Primary |
Addresses
Primary practice location
1900 Randolph Rd Ste 800
Charlotte, NC 28207-1110
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1246
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rkannali438314@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- 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
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9929 Rea Rd
Suite 101
Waxhaw, NC 28173-6421
Phone (704) 316-1075
Hospital & facility affiliations
- Novant Health Presbyterian Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126916 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Multi-Specialty | Current | Accepting new patients |
| Cabarrus Rowan Community Health Centers, Inc. | Multi-Specialty | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Multi-Specialty | Current | Accepting new patients |
| Forsyth Memorial Hospital Inc | Multi-Specialty | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| Cabarrus Rowan Community Health Centers, Inc. | Current | Accepting new patients | |
| Cabarrus Rowan Community Health Centers, Inc. | Multi-Specialty | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Multi-Specialty | Current | Accepting new patients |
| The Presbyterian Hospital | Past | Accepting new patients |
Locations
1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171
1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242
1401 Matthews Township Pkwy
Ste 320
Matthews, NC 28105
Phone (704) 316-9064
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
300 N Salisbury Ave
Spencer, NC 28159
Phone (704) 216-2630
9929 Rea Rd
Ste 101
Waxhaw, NC 28173
Phone (704) 316-1055
175 Kimel Park Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 277-1811
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- rkannali438314@direct.novanthealth.org
Organizations & group practices 10
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Concord, NC
- NPI 1396782710
Multi-Specialty
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Salisbury, NC
- NPI 1336780576
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- China Grove, NC
- NPI 1528304235
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
Multi-Specialty
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
Multi-Specialty
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1174879415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 RANDOLPH RD STE 800",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282071110",
"telephone_number": "704-384-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNALI",
"first_name": "RAJASEKHAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-24",
"last_updated": "2020-10-27",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "126916",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2017-00073",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rkannali438314@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1900 Randolph Rd Ste 800",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282071110",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.