Active NPI
Kandhasamy Kannapiran, M.D;
- Internal Medicine Physician
- Mansfield, OH
National Provider Identifier
1528087160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 350 48702
- Practice address
- 339 Cline Ave
Mansfield, OH 44907-1072 - Phone
- (419) 756-1242
- Fax
- (419) 756-7894
- NPI assigned
- Jul 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 350 48702 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 39896 | KY |
Addresses
Primary practice location
339 Cline Ave
Mansfield, OH 44907-1072
Mailing address
339 Cline Ave
Mansfield, OH 44907-1072
Phone (419) 756-1242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0517631 | Medicaid | OH |
Other names 1
- Dr. Kandhasamy Kannapiran
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39896 | KY | MD | Internal Medicine Physician |
| 350 48702 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528087160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071072",
"telephone_number": "419-756-1242",
"fax_number": "419-756-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "339 CLINE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449071072",
"telephone_number": "419-756-1242",
"fax_number": "419-756-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAPIRAN",
"first_name": "KANDHASAMY",
"name_prefix": "Dr.",
"credential": "M.D;",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "350 48702",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "39896",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0517631",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KANDHASAMY",
"last_name": "KANNAPIRAN",
"prefix": "DR.",
"credential": "M.D;",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.