Active NPI
Sowjanya Kanna, MD
- Gastroenterology Physician
- Tarentum, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- MD462002
- Practice address
- 301 E 1St Ave
Tarentum, PA 15084-1858 - Phone
- (724) 224-3113
- Fax
- (724) 224-2447
- NPI assigned
- Sep 10, 2009
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | MD462002 | PA | Primary |
Addresses
Primary practice location
301 E 1St Ave
Tarentum, PA 15084-1858
Mailing address
301 E 1St Ave
Tarentum, PA 15084-1858
Phone (724) 224-3113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103351129 | Medicaid | PA | |
| 14098931 | Other | CAQH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | skanna142892@direct.ahn.org |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 S Preston Rd
10 Baylor Scott and White Primary Care Prospe
Prosper, TX 75078-8885
Phone (469) 800-5200
12505 Lebanon Rd
Suite 1442
Frisco, TX 75035-8298
Phone (972) 963-3550
4001 Worth St
Dallas, TX 75246-1608
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 31 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Gastroenterology | Current | Accepting new patients |
Locations
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- skanna1236985@direct.sw.org
- skanna142892@direct.ahn.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Frisco, TX
- NPI 1801826839
-
dba Baylor Scott & White Medical Center - Frisco at PGA Parkway
- General Acute Care Hospital
- Frisco, TX
- NPI 1851108765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851624787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 E 1ST AVE",
"city": "TARENTUM",
"state": "PA",
"postal_code": "150841858",
"telephone_number": "724-224-3113",
"fax_number": "724-224-2447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 E 1ST AVE",
"city": "TARENTUM",
"state": "PA",
"postal_code": "150841858",
"telephone_number": "724-224-3113",
"fax_number": "724-224-2447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNA",
"first_name": "SOWJANYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2022-07-21",
"certification_date": "2020-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "MD462002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103351129",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14098931",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "skanna142892@direct.ahn.org",
"affiliation": "N",
"address_1": "301 E 1st Ave",
"city": "Tarentum",
"state": "PA",
"country_code": "US",
"postal_code": "150841858",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tarentum, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.