Individual provider Active NPI

Tillaikarasi Kannappan, MD

  • Obstetrics & Gynecology Physician
  • Bakersfield, CA
National Provider Identifier
1598743635
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A52211 Issued in CA
Practice address
100 Old River Rd
Bakersfield, CA 93311-8823
Phone
(661) 663-4800
Fax
(661) 663-4870
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A52211 CA Primary

Addresses

Primary practice location

100 Old River Rd
Bakersfield, CA 93311-8823

Mailing address

100 Old River Rd
Bakersfield, CA 93311-8823
Phone (661) 663-4800

Other practice location 1

300 Old River Rd
Ste 200
Bakersfield, CA 93311
Phone (661) 663-4800

Other identifiers 1

IdentifierTypeStateIssuer
4383857OtherECFMG

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081121000158 CA Practitioner - Obstetrics/Gynecology 1456375773

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A52211CAMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: tillaikannappan@sdmgca.allscriptsdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598743635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 OLD RIVER RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118823",
            "telephone_number": "661-663-4800",
            "fax_number": "661-663-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OLD RIVER RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118823",
            "telephone_number": "661-663-4800",
            "fax_number": "661-663-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Old River Rd",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "93311",
            "country_code": "US",
            "telephone_number": "661-663-4800",
            "fax_number": "661-663-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNAPPAN",
        "first_name": "TILLAIKARASI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A52211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "4383857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.