Active NPI
Milan Gimantha Kahanda, M.D.
- Clinical Cardiac Electrophysiology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 2022015523
- Practice address
- 10012 Kennerly Rd Ste 202
Saint Louis, MO 63128-2197 - Phone
- (314) 692-2807
- NPI assigned
- Jun 18, 2014
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2022015523 | MO | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 2022015523 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 202
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 202
Saint Louis, MO 63128-2197
Phone (314) 692-2807
Other practice location 1
1001 S Kirkwood Rd Ste 310
Saint Louis, MO 63122-7250
Phone (314) 692-2807
Other practice location 2
10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197
Phone (314) 692-2807
Other practice location 3
4280 Mid America Ln Ste 10
Saint Louis, MO 63129-1202
Phone (636) 692-2807
Other practice location 4
10004 Kennerly Rd Ste 115A
Saint Louis, MO 63128-5106
Phone (314) 692-2807
Other practice location 5
12200 Weber Hill Rd Ste 100
Saint Louis, MO 63127-1569
Phone (314) 692-2807
Other practice location 6
7345 Watson Rd # Ll1
Saint Louis, MO 63119-9804
Phone (314) 692-2807
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- 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
- Cardiac Electrophysiology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10012 Kennerly Rd
Suite 202
Saint Louis, MO 63128-2197
Phone (314) 692-2807
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022015523 | MO | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Heart and Vascular, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Saint Luke'S Physician Group Inc | Internal Medicine | Past | Accepting new patients |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Past | Accepting new patients |
Locations
1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055
1225 Graham Rd
Ste C-2310
Florissant, MO 63031
Phone (314) 953-6300
11155 Dunn Rd
Ste 109N
Saint Louis, MO 63136
Phone (314) 837-3784
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807
4280 Mid America Ln
Ste 10
Saint Louis, MO 63129
Phone (314) 692-2807
10004 Kennerly Rd
Ste 115A
Saint Louis, MO 63128
Phone (314) 525-1538
7345 Watson Rd
#1
Saint Louis, MO 63119
Phone (314) 692-2807
10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602
12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400
1001 S Kirkwood Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 692-2807
625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775
901 Patients First Dr
#2500
Washington, MO 63090
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1679503668
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1811301740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 202",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-692-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 202",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-692-2807"
}
],
"practiceLocations": [
{
"address_1": "1001 S Kirkwood Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631227250",
"country_code": "US",
"telephone_number": "314-692-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10012 Kennerly Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282197",
"country_code": "US",
"telephone_number": "314-692-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4280 Mid America Ln Ste 10",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631291202",
"country_code": "US",
"telephone_number": "636-692-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10004 Kennerly Rd Ste 115A",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631285106",
"country_code": "US",
"telephone_number": "314-692-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12200 Weber Hill Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631271569",
"country_code": "US",
"telephone_number": "314-692-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7345 Watson Rd # Ll1",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631199804",
"country_code": "US",
"telephone_number": "314-692-2807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAHANDA",
"first_name": "MILAN",
"middle_name": "GIMANTHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-18",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2022015523",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MO",
"license": "2022015523",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1225 Graham Rd Ste C-2310",
"city": "Florissant",
"state": "MO",
"country_code": "US",
"postal_code": "630318023",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.