Anup K Kanodia, M.D., MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.094212 Issued in OH

Practice address

2000 Kenny Rd
Columbus, OH 43221-3502

Phone

(614) 293-9777

Fax

(614) 293-9776

NPI assigned

Dec 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1194765438
  NPD (past)
• Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce

  • Body Imaging Physician
  • Boston, MA
  • NPI 1275574899
  NPD (past)

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1306820063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213502",
            "telephone_number": "614-293-9777",
            "fax_number": "614-293-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213502",
            "telephone_number": "614-293-9777",
            "fax_number": "614-293-9776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANODIA",
        "first_name": "ANUP",
        "middle_name": "K",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34347",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "228350",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.094212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2987120",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prasad V Kanneganti, MD
• Hawa W Kanneh
• Christopher Dale Kanner, MD
• Dale Stanley Kanner, DDS
• Bradley Kanney, PT,DPT,SCS,CSCS
• Sachidanandan P Kanoor, MD
• David J Kanotz Jr., CRNA
• John D Kanotz, CRNA
• Maggie Kanoun
• Sravanti K Kantheti, D.C.

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.