Active NPI
Niranjan Kanesa-Thasan, MD
- Pediatric Infectious Diseases Physician
- Lexington, MA
National Provider Identifier
1326676198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 35.056367
- Practice address
- 15 Hathaway Rd
Lexington, MA 02420-1853 - Phone
- (617) 599-3505
- NPI assigned
- Mar 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | 35.056367 | OH | Primary |
Addresses
Primary practice location
15 Hathaway Rd
Lexington, MA 02420-1853
Mailing address
15 Hathaway Rd
Lexington, MA 02420-1853
Phone (617) 599-3505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.056367 | OH | MD | Pediatric Infectious Diseases Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585440000000",
"number": "1326676198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HATHAWAY RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024201853",
"telephone_number": "617-599-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HATHAWAY RD",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024201853",
"telephone_number": "617-599-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANESA-THASAN",
"first_name": "NIRANJAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-29",
"last_updated": "2020-03-29",
"certification_date": "2020-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "OH",
"license": "35.056367",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.