Individual provider Active NPI

Kalyan C Danneeru, D.P.M.

  • Podiatrist
  • Brooklyn, NY
National Provider Identifier
1831531136
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
006789 Issued in NY
Practice address
374 Stockholm St
Brooklyn, NY 11237-4006
Phone
(718) 963-7332
Fax
(718) 963-6419
NPI assigned
Jul 27, 2013
Last updated
Nov 22, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 006789 NY Primary

Addresses

Primary practice location

374 Stockholm St
Brooklyn, NY 11237-4006

Mailing address

467 Merrick Ave
East Meadow, NY 11554-2719
Phone (516) 489-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200122002904 TX Practitioner - Podiatry 3577843143 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1010 Wiggins Pkwy
Mesquite, TX 75150-7410
Phone (972) 686-3770

1295 Kinwest Pkwy
Irving, TX 75063-3403
Phone (469) 251-4349

1530 E Sandy Lake Rd
Coppell, TX 75019-3105
Phone (214) 390-2450

2003 W Hutchins PL
San Antonio, TX 78224-1368
Phone (210) 927-0800

2800 Loy Lake Rd
Denison, TX 75020-5648
Phone (903) 465-6463

4041 Long Prairie Rd
Flower Mound, TX 75028-1565
Phone (469) 294-1080

5349 Altamesa Blvd
Fort Worth, TX 76123-4810
Phone (817) 292-8886

5417 Altamesa Blvd
Fort Worth, TX 76123-2804
Phone (817) 292-8886

7801 N Richland Blvd
North Richland Hills, TX 76180-6415
Phone (817) 581-6310

8502 Edgemere Rd
Dallas, TX 75225-3523
Phone (214) 615-7045

950 Wiggins Pkwy
Mesquite, TX 75150-1400
Phone (972) 698-2626

Merit-based Incentive Payment System (MIPS)

Final score
87.82 of 100Reported as group
Quality
72.99
Improvement activities
40
Cost
75.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue6131
Removal or shaving of skin growth2759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2213TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achilles Health Care LLC CurrentSince Nov 1, 2022 Accepting new patients
Dr. K. Danneeru DPM PLLC Podiatrist Current Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jun 25, 2021 Accepting new patients
Preferred Podiatry Group PC Podiatrist CurrentSince Jun 25, 2021 Accepting new patients

Locations

3706 Adelphi Ln
Austin, TX 78727
Phone (512) 833-9253

1500 Sunset Dr
Friendswood, TX 77546
Phone (281) 922-4300

7887 Cambridge St
Houston, TX 77054
Phone (713) 796-2777

7801 N Richland Blvd
North Richlnd Hls, TX 76180
Phone (469) 609-9044

6600 9th Ave
Port Arthur, TX 77642
Phone (409) 962-5541

2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800

109 N McKinney St
Sweeny, TX 77480
Phone (409) 548-3383

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12642/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1831531136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 MERRICK AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542719",
            "telephone_number": "516-489-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-7332",
            "fax_number": "718-963-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEERU",
        "first_name": "KALYAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-27",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.