Jovil Kannampuzha, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

53702 Issued in KY

Practice address

800 N Elm St
Henderson, KY 42420-2709

Phone

(812) 492-1960

NPI assigned

Jul 19, 2013

Last updated

Nov 19, 2021By 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

Enrolled in IN

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

Specialty

Cardiovascular Disease (Cardiology)Also: Internal Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Methodist Hospitals Cardiographics, LLCGroup PAC ID 0749244499, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
• St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
• Community Hospital Hospital, Munster, IN, CCN 150125

Merit-based Incentive Payment System (MIPS)

Final score

78.64 of 100Reported as group

Quality

56.64

Promoting interoperability

73

Improvement activities

40

Cost

76.72

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkannampuzha55014@direct.metrohealth.org
• Direct secure messaging: jkannampuzha220975@direct.deaconess.com

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.

• Methodist Hospitals Cardiographics, LLC

  • Cardiovascular Disease Physician
  • Merrillville, IN
  • NPI 1609825686
  Medicare reassignment Care Compare group NPD
• The Methodist Hospitals, Inc

  dba Methodist Northlake Physicians

  • Internal Medicine Physician
  • Gary, IN
  • NPI 1720290349
  Medicare reassignment Care Compare group NPD
• Deaconess Hospital, Inc

  dba Deaconess Care Group

  • Hospitalist Physician
  • Evansville, IN
  • NPI 1427097443

  Cardiovascular Disease

  Medicare reassignment NPD
• Deaconess Specialty Physicians, Inc

  • Cardiovascular Disease Physician
  • Evansville, IN
  • NPI 1306344817
  Medicare reassignment NPD
• Advanced Integrative Medical Services

  dba Advanced Cardiology of Henderson

  • Cardiovascular Disease Physician
  • Henderson, KY
  • NPI 1942966627
  NPD Authorized official
• Deaconess Hospital Inc

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1508723552
  NPD
• The Methodist Hospitals, Inc

  dba The Neuroscience Institute of NWI

  • Neurology Physician
  • Gary, IN
  • NPI 1720290588
  NPD
• The Methodist Hospitals, Inc

  dba Methodist Cardiology Services

  • Cardiovascular Disease Physician
  • Gary, IN
  • NPI 1912573585
  NPD
• The Metrohealth System

  dba Metrohealth Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1700828852
  NPD

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

• Munster Medical Research Foundation Inc

  dba Community Hospital

  • General Acute Care Hospital
  • Munster, IN
  • NPI 1003918210
  Care Compare affiliation
• St Mary Medical Center Inc

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1558463745
  Care Compare affiliation
• St Mary Medical Center Inc

  dba St Mary Wound Clinic

  • General Acute Care Hospital
  • Hobart, IN
  • NPI 1962504175
  Care Compare affiliation
• The Methodist Hospitals, Inc

  • General Acute Care Hospital
  • Gary, IN
  • NPI 1467504555
  Care Compare affiliation

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1710329776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202709",
            "telephone_number": "812-492-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202709",
            "telephone_number": "812-492-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNAMPUZHA",
        "first_name": "JOVIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KY",
            "license": "53702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Todd Johnson, DMD
• Cheryl Lee Jones, H.I.S.
• William T Jones, MD
• Julie L. Watson
• Jenna Kamuf, LPCA
• Thomas Allan Keen, DMD
• Linda Dalton Keith, F.N.P.
• Mandy Brown Kelley, LPCC
• Kemp (Kentucky Emergency Medical Physicians)
• Kendra Gray PHD PLC

• Cardiovascular Disease Physician in Henderson, KY
• Providers in Henderson, KY by specialty
• Cardiovascular Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.

Verify at the official NPI Registry.