NPIMap

Organization Active NPI

Kannan and Associates PC

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1225329956
Registry record updated Jun 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D63183 Issued in MD
Legal business name
KANNAN AND ASSOCIATES PC
Practice address
10301 Georgia Ave
203
Silver Spring, MD 20902-5020
Phone
(301) 681-7010
Fax
(301) 593-8366
NPI assigned
Apr 28, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2012

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

Authorized official

Name
Dr. Vijay Shri Kannan, M.D
Title
President
Phone
(301) 681-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X D63183 MD Primary

Addresses

Primary practice location

10301 Georgia Ave
203
Silver Spring, MD 20902-5020

Mailing address

10301 Georgia Ave
203
Silver Spring, MD 20902-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111025000549 DC Part B Supplier - Clinic/Group Practice 1759554454 Receives reassigned benefits from 2 practitioners
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

10301 Georgia Ave
Ste 203
Silver Spring, MD 20902
Phone (240) 865-3135

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339286400000",
    "number": "1225329956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GEORGIA AVE",
            "address_2": "203",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10301 GEORGIA AVE",
            "address_2": "203",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025020",
            "telephone_number": "301-681-7010",
            "fax_number": "301-593-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANNAN AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2012-06-10",
        "status": "A",
        "authorized_official_last_name": "KANNAN",
        "authorized_official_first_name": "VIJAY SHRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-681-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D63183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.