Individual provider Active NPI

Muthumeena Kannappan, MD, MPH

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1750887717
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2024-02022 Issued in NC
Practice address
158 E 38TH St
Brooklyn, NY 11203-2810
Phone
(646) 499-0328
NPI assigned
Mar 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101285177 VA
Hospitalist Physician 208M00000X 01085612A IN
Family Medicine Physician 207Q00000X 2024-02022 NC Primary
Family Medicine Physician 207Q00000X 01085612A IN

Addresses

Primary practice location

158 E 38TH St
Brooklyn, NY 11203-2810

Mailing address

158 E 38TH St
Brooklyn, NY 11203-2810
Phone (646) 499-0328

Other practice location 1

1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000

Other practice location 2

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4000

Other practice location 3

830 Kempsville Rd Fl 1
Norfolk, VA 23502-3920
Phone (757) 261-8070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkannappan600479@Direct.FranciscanAlliance.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, GA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20240911003448 NC Practitioner - Family Practice 3678970316 Reassigns benefits to 1 organization
I20260326000062 VA Practitioner - HospitalistPractitioner - Family Practice 3678970316 Reassigns benefits to 2 organizations
I20260511003289 GA Practitioner - Hospitalist 3678970316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

100 Sentara Cir
Suite 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7217

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

1144 N Rd St
Elizabeth City, NC 27909-3473
Phone (852) 335-0531

1535 Slate Creek Rd
Grundy, VA 24614-6974
Phone (276) 935-1000

3050 Halstead Blvd Ext
Room 2 147
Elizabeth City, NC 27909-4994
Phone (330) 492-4443

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01085612AINMDFamily Medicine Physician
0101285177VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Integrated Acute Care Services of North Carolina, PLLC CurrentSince Aug 15, 2024 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince May 1, 2026 Accepting new patients

Locations

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

830 Kempsville Rd
Fl 1
Norfolk, VA 23502
Phone (757) 261-8070

100 Sentara Cir
Ste 2C
Williamsburg, VA 23188
Phone (757) 984-7217

Interoperability endpoints

  • Direct secure messaging: mkannappan600479@direct.franciscanalliance.org

Organizations & group practices 5

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 6

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": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1750887717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 E 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032810",
            "telephone_number": "646-499-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032810",
            "telephone_number": "646-499-0328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1535 Slate Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Grundy",
            "state": "VA",
            "postal_code": "246146974",
            "country_code": "US",
            "telephone_number": "276-935-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4000",
            "fax_number": "765-502-4709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Kempsville Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235023920",
            "country_code": "US",
            "telephone_number": "757-261-8070",
            "fax_number": "757-995-7095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNAPPAN",
        "first_name": "MUTHUMEENA",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101285177",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01085612A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2024-02022",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01085612A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkannappan600479@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1701 S Creasy Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479054972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.