Janaki Kanumilli, MD

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

222149 Issued in NY

Practice address

8338 Little Neck Pkwy
Floral Park, NY 11004-1626

Phone

(718) 347-0504

Fax

(718) 343-3979

NPI assigned

May 9, 2006

Last updated

Apr 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 10

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• New Glen Oaks Nursing Home Inc.

  • Skilled Nursing Facility
  • Glen Oaks, NY
  • NPI 1871604009

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

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.

• Janaki Kanumilli, MD P.C.

  • Health Maintenance Organization
  • Forest Hills, NY
  • NPI 1255627725
  NPD (past) Authorized official
• Abk Neurological Associates P C

  • Specialist
  • Forest Hills, NY
  • NPI 1811160534
  NPD (past)
• Jain & Kanumilli,MD,PC

  • Family Medicine Physician
  • Floral Park, NY
  • NPI 1760463020

  Adult Medicine

  NPD (past)
• New Glen Oaks Nursing Home Inc.

  • Skilled Nursing Facility
  • Glen Oaks, NY
  • NPI 1871604009
  NPD (past)
• Promenade Nursing Home, Inc

  dba Promenade Rehabilitation and Health Care Center

  • Skilled Nursing Facility
  • Rockaway Park, NY
  • NPI 1992856751
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1912956889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 71ST RD",
            "address_2": "SUITE 1B",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754969",
            "telephone_number": "718-263-5909",
            "fax_number": "718-343-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8338 LITTLE NECK PKWY",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041626",
            "telephone_number": "718-347-0504",
            "fax_number": "718-343-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANUMILLI",
        "first_name": "JANAKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NY",
            "license": "222149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02362729",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "084821488",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3001048",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5997928",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2718132",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "141539",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "201993043",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET",
            "identifier": "4C6090",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "191803007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "5485D",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jzanus Home Care, Inc.
• Danielle Malamed Kahn
• Karen A Kalaf, R.N.
• Pothitos Nikolaos Kalafatis, MA
• Lajwanity Kalra, FNP-BC
• Steven Kaplan, L.C.S.W.
• Martin J Kaplitt, MD
• Githu George Karipelil Varghese
• Margaret D. Karmitz, RN
• Gail Helene Kass, MS RD CDN

• Adult Medicine Physician in Floral Park, NY
• Providers in Floral Park, NY by specialty
• Adult Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.