Jennifer Anita Kannan, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD465546 Issued in PA

Practice address

233 E Lancaster Ave Ste 220
Ardmore, PA 19003-2321

Phone

(610) 642-1643

NPI assigned

Mar 26, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Allergy/Immunology

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Main Line Allergy , L.L.P.Group PAC ID 0941284301, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IIEIBA

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.

• Main Line Allergy , L.L.P.

  • Allergy & Immunology Physician
  • Ardmore, PA
  • NPI 1437104460

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1301097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1740589993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 ALLENDALE RD",
            "address_2": "STE 223",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061431",
            "telephone_number": "202-741-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E LANCASTER AVE STE 220",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032321",
            "telephone_number": "610-642-1643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 M St NW",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200371434",
            "country_code": "US",
            "telephone_number": "202-741-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "491 Allendale Rd Ste 223",
            "address_purpose": "LOCATION",
            "city": "King Of Prussia",
            "state": "PA",
            "postal_code": "194061431",
            "country_code": "US",
            "telephone_number": "610-768-9923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNAN",
        "first_name": "JENNIFER",
        "middle_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-26",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD465546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.kannan@mainlineallergy.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Main Line Allergy",
            "address_1": "233 E Lancaster Ave Ste 200",
            "city": "Ardmore",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190032321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandra Johnson, LPC, ATR-BC
• Emily Johnston
• Daniel Fuller Jones, MD
• Joanne Michelle Kakaty-Monzo, DO
• Arjun Kalyanpur, M.D.
• Kara G Fraiman DMD LLC
• Karen Berberian, L.L.C.
• Karen L. Abrams M.D. LLC
• Kay Daily Care LLC
• Chandra Angelena Kee, MD

• Allergy & Immunology Physician in Ardmore, PA
• Providers in Ardmore, PA by specialty
• Allergy & Immunology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.