S Balavenkatesh Kanna

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

002137 Issued in NY

Practice address

234 East 149TH Street
Lincoln Hospital,Suite # 8-22, Department of Medicine
Bronx, NY 10451

Phone

(718) 579-5000

Fax

(718) 579-4836

NPI assigned

Dec 1, 2006

Last updated

Feb 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Balavenkatesh Kanna Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: bkanna839403@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lincon Medical and Mental Center

  • Critical Access Hospital
  • Bronx, NY
  • NPI 1902979651
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424649600000",
    "number": "1417025990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 THERESA LN",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105834621",
            "telephone_number": "914-912-8320",
            "fax_number": "718-579-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 EAST 149TH STREET",
            "address_2": "LINCOLN HOSPITAL,SUITE # 8-22, DEPARTMENT OF MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10451",
            "telephone_number": "718-579-5000",
            "fax_number": "718-579-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNA",
        "first_name": "S BALAVENKATESH",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2015-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "002137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BALAVENKATESH",
            "last_name": "KANNA",
            "prefix": "DR.",
            "credential": "MD MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Xiangyi Kang, MD
• Kangsun Acupuncture & Herb PLLC
• Rahim Kanji, MD
• Ernest Boadu Kankam
• Nirmala Kanna, M.D.
• Rejani P Kannampallil, FNP
• Kannayya Pharmacy Inc. (Poe Pharmacy)
• Manasa Kanneganti, M.D.
• Esther Kanner
• Marijane Kanner, M.S. CCC-SLP

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.