NPIMap

Organization Active NPI

Janaki Kanumilli, MD P.C.

  • Health Maintenance Organization
  • Forest Hills, NY
National Provider Identifier
1255627725
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
222149 Issued in NY
Legal business name
JANAKI KANUMILLI, MD P.C.
Practice address
11050 71St Rd
Suite 1B
Forest Hills, NY 11375-4969
Phone
(718) 268-1458
Fax
(718) 897-1926
NPI assigned
Jun 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Authorized official

Name
Mrs. Janaki Kanumilli, MDNPI 1912956889
Title
President
Phone
(718) 268-1458

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 222149 NY Primary

Addresses

Primary practice location

11050 71St Rd
Suite 1B
Forest Hills, NY 11375-4969

Mailing address

11050 71St Rd
Suite 1B
Forest Hills, NY 11375-4969
Phone (718) 268-1458

Other identifiers 2

IdentifierTypeStateIssuer
02362729MedicaidNY
P00902325OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1255627725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 71ST RD",
            "address_2": "SUITE 1B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754969",
            "telephone_number": "718-268-1458",
            "fax_number": "718-897-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 71ST RD",
            "address_2": "SUITE 1B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754969",
            "telephone_number": "718-268-1458",
            "fax_number": "718-897-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANAKI KANUMILLI, MD P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "KANUMILLI",
        "authorized_official_first_name": "JANAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-268-1458",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "222149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02362729",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00902325",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.