Pradeep Kannampalli, PH.D.

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

333 W Brown Deer Road
Ste 240
Milwaukee, WI 53217-2372

Phone

(414) 351-6666

Fax

(414) 351-6999

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Neurological Monitoring Associates, LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Milwaukee, WI
  • NPI 1104871763
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1487121125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BROWN DEER ROAD",
            "address_2": "STE 240",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172372",
            "telephone_number": "414-351-6666",
            "fax_number": "414-351-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BROWN DEER ROAD",
            "address_2": "STE 240",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532172372",
            "telephone_number": "414-351-6666",
            "fax_number": "414-351-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNAMPALLI",
        "first_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S Kane, MD
• Crystal H Kang, MD
• Gina M Kangas, L.C.S.W.
• Kristi L Kanitz, M.D.
• Rebecca Lynn Kanitz
• Kelsey Kannenberg, PA-C
• Kano Psychotherapy Limited
• Alvina R. Kansra, M.D.
• Binyamin Shlomo Kanter
• Jonathan William Kanter, PH.D.

• Electroneurodiagnostic Specialist/Technologist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Electroneurodiagnostic Specialist/Technologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.