Annie Vincent Kannarkat, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C06483 Issued in MD

Practice address

100 S Charles St Ste 150
Baltimore, MD 21201-2730

Phone

(410) 752-3010

NPI assigned

Jul 8, 2013

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

86.37 of 100Reported as group

Quality

70.23

Promoting interoperability

100

Improvement activities

40

Cost

77.22

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Current Care PA

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1477734861

  PA

  Medicare reassignment NPD
• On Demand Urgent Care Group PC

  dba On Demand Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1053729814
  Medicare reassignment
• On Demand Urgent Care Group PC

  • Urgent Care Clinic/Center
  • Philadelphia, PA
  • NPI 1881083723
  NPD (past)
• The Primary Care Center, PC

  • Internal Medicine Physician
  • Decatur, GA
  • NPI 1902961261
  NPD (past)

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174964183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S CHARLES ST STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012730",
            "telephone_number": "410-752-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S CHARLES ST STE 150",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212012730",
            "telephone_number": "410-752-3010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2891 N Decatur Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300337426",
            "country_code": "US",
            "telephone_number": "404-298-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNARKAT",
        "first_name": "ANNIE",
        "middle_name": "VINCENT",
        "name_prefix": "Mrs.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "7527",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C06483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD PHYSICIAN ASSISTANT LICENSE",
            "identifier": "C06483",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "7527",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ali Diamond Kanji, D.P.T.
• Famida Kanji
• Mohammed Yousef Kanjwal, MD
• Rohan Anil Kankaria, MD
• Sujatha Kannan, MD
• Joseph Kannarkat
• Bethany Kannen
• Mettassebia Kanno, M.D.
• Ashley Kristy Kansinally
• Vanessa Kansinde

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.