Active NPI
Pranav Prashanth Cannanbilla, DO
- Emergency Medicine Physician
- Erie, PA
National Provider Identifier
1700579372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- H0107022
- Practice address
- 232 W 25TH St
Erie, PA 16544-0002 - Phone
- (814) 452-5109
- NPI assigned
- May 31, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 338469 | OH | |
| Emergency Medicine Physician | 207P00000X | H0107022 | MD | Primary |
Addresses
Primary practice location
232 W 25TH St
Erie, PA 16544-0002
Mailing address
232 W 25TH St
Erie, PA 16544-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4535 Dressier Rd NW
Canton, OH 44718-2545
9665 Buckingham Dr
Allison Park, PA 15101-1604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 338469 | OH | MD | Emergency Medicine Physician |
| 338469 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahn Emergency Group of Erie County LTD. | Emergency Medicine | Current | Accepting new patients |
Locations
189 E Main St
Westfield, NY 14787
Phone (716) 326-4921
232 W 25th St
Erie, PA 16544
Phone (814) 452-5337
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786060800000",
"number": "1700579372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165440002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 W 25TH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165440002",
"telephone_number": "814-452-5109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNANBILLA",
"first_name": "PRANAV",
"middle_name": "PRASHANTH",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-31",
"last_updated": "2026-08-07",
"certification_date": "2026-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "338469",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "H0107022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.