Individual provider Active NPI

Vinod Tony Kannarkat, M.D.

  • Cardiovascular Disease Physician
  • Newport Beach, CA
National Provider Identifier
1891966412
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A 103084 Issued in CA
Practice address
4695 Macarthur CT # 1112a
Newport Beach, CA 92660-1882
Phone
(949) 642-5513
Fax
(949) 642-9479
NPI assigned
Mar 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A 103084 CA Primary

Addresses

Primary practice location

4695 Macarthur CT # 1112a
Newport Beach, CA 92660-1882

Mailing address

4695 Macarthur CT # 1112a
Newport Beach, CA 92660-1882
Phone (949) 642-5513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, NM, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20140702000443 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 5991929648 Reassigns benefits to 1 organization
I20230420002648 TX Practitioner - Internal Medicine 5991929648
I20230713002897 NM Practitioner - Internal Medicine 5991929648 Reassigns benefits to 1 organization
I20250910004297 NY Practitioner - Internal Medicine 5991929648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Preserve
Irvine, CA 92618-4804

564 Niagara St
Buffalo, NY 14201-1108

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103084CAMDMental Health Counselor
302686NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connectors Medical Group Inc Cardiovascular Disease CurrentSince Jan 24, 2018 Accepting new patients
Urban Family Practice PC CurrentSince May 30, 2025 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Good Samaritan Hospital, L.P. PastSince May 1, 2022 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients

Locations

520 Superior Ave
Ste 255
Newport Beach, CA 92663
Phone (949) 720-9266

4695 MacArthur Ct
#1112A
Newport Beach, CA 92660
Phone (310) 927-0919

2300 N St NW
Ste 200
Washington, DC 20037
Phone (844) 401-4663

500 Marquette Ave NW
Albuquerque, NM 87102
Phone (505) 429-5750

322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vinod.kannarkat.p7@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: vinod.kannarkat@cinq-nyipa.medentdirect.com
  • Direct secure messaging: vinod.kannarkat.p1@direct.arch.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1891966412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT # 1112A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "949-642-5513",
            "fax_number": "949-642-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT # 1112A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "949-642-5513",
            "fax_number": "949-642-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNARKAT",
        "first_name": "VINOD",
        "middle_name": "TONY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-23",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A 103084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.