Individual provider Active NPI

Ramana R Kankanala, M.D.

  • Family Medicine Physician
  • Springfield, MO
National Provider Identifier
1679756381
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2013022999 Issued in MO
Practice address
3801 S National Ave Ste 1122
Springfield, MO 65807-6090
Phone
(417) 269-7728
Fax
(417) 269-7729
NPI assigned
Dec 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2013022999 MO Primary

Addresses

Primary practice location

3801 S National Ave Ste 1122
Springfield, MO 65807-6090

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131014001586 MO Practitioner - Family Practice 2062604960 Reassigns benefits to 2 organizations
I20230711002647 FL Practitioner - Family Practice 2062604960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lester E Cox Medical CentersGroup PAC ID 1254248917, 336 clinicians
Skaggs Community Hospital AssociationGroup PAC ID 5092624320, 222 clinicians

Practice addresses (Care Compare)

1423 N Jefferson Ave
Springfield, MO 65802-1917
Phone (417) 269-3000

3801 S National Ave
Springfield, MO 65807-5210
Phone (417) 269-6000

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7000

Hospital & facility affiliations

  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Oct 15, 2014 Accepting new patients
Orlando Physicians Network Inc Family Medicine CurrentSince Aug 25, 2023 Accepting new patients
Lester E. Cox Medical Centers CurrentSince Oct 15, 2014 Accepting new patients
Lester E. Cox Medical Centers Family Medicine Current Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

901 N Narcoossee Rd
Saint Cloud, FL 34771
Phone (407) 891-2922

3801 S National Ave
Ste 1122
Springfield, MO 65807

3525 S National Ave
Ste 101
Springfield, MO 65807
Phone (417) 269-9950

960 E Walnut Lawn St
Ste 201
Springfield, MO 65807
Phone (417) 269-4450

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

1000 E Primrose St
Ste 360
Springfield, MO 65807
Phone (417) 269-4037

Interoperability endpoints

  • Direct secure messaging: ramana.kankanala@cernerdirect.coxhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1679756381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 S NATIONAL AVE STE 1122",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076090",
            "telephone_number": "417-269-7728",
            "fax_number": "417-269-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANKANALA",
        "first_name": "RAMANA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-17",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2013022999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.