Active NPI
Srijaa Kannan, DO
- Obstetrics & Gynecology Physician
- Orlando, FL
National Provider Identifier
1295468973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 8750
- Practice address
- 1401 Lucerne Terrance
Mp818 2ND Floor
Orlando, FL 32806 - Phone
- (321) 841-5297
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 8750 | FL | Primary |
Addresses
Primary practice location
1401 Lucerne Terrance
Mp818 2ND Floor
Orlando, FL 32806
Mailing address
1401 Lucerne Terrance
Mp818 2ND Floor
Orlando, FL 32806
Phone (321) 841-5297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8750 | FL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1295468973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 LUCERNE TERRANCE",
"address_2": "MP818 2ND FLOOR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32806",
"telephone_number": "321-841-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 LUCERNE TERRANCE",
"address_2": "MP818 2ND FLOOR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "32806",
"telephone_number": "321-841-5297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAN",
"first_name": "SRIJAA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-08-26",
"certification_date": "2022-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "8750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.