Tomy Kannala, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149020548 Issued in IL

Practice address

919 Arnold CT
Des Plaines, IL 60016-5868

Phone

(224) 625-0632

NPI assigned

Sep 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

91.66 of 100Reported as group

Quality

80.64

Improvement activities

40

Cost

74.35

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Deer Oaks Mid-West LLC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1154978476
  NPD

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

{
    "created_epoch": "1536364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536364800000",
    "number": "1417430216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 ARNOLD CT",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165868",
            "telephone_number": "224-625-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 ARNOLD CT",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165868",
            "telephone_number": "224-625-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNALA",
        "first_name": "TOMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-08",
        "last_updated": "2018-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freddrika L Kammer, APN
• Kamran Tech Solutions Inc.
• Drew S Kandilakis, D.C.
• David Robert Kang, M.D.
• Edyta D. Kania, MA, LPC
• Bari Kaplan-Patterson, LSW
• Sydney Kaplan
• Sarah Kapolnek, PA
• Katarzyna Kardasz
• Naheed Karim-Thachenkary, OT

• Clinical Social Worker in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.