Individual provider Active NPI

Naveen Kankanala, M.D.

  • Body Imaging Physician
  • Brooklyn, NY
National Provider Identifier
1972836401
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
260077 Issued in NY
Practice address
4802 10TH Ave
Brooklyn, NY 11219-2916
Phone
(617) 308-6452
NPI assigned
Sep 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 232117 MA
Body Imaging Physician 2085B0100X 260077 NY Primary

Addresses

Primary practice location

4802 10TH Ave
Brooklyn, NY 11219-2916

Mailing address

66 W 38TH St Apt 37G
New York, NY 10018-6362
Phone (617) 308-6452

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151107000096 TX Practitioner - Diagnostic Radiology 1951570217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Radiology Consultants PLLCGroup PAC ID 6709868409, 120 clinicians

Practice addresses (Care Compare)

3500 Gaston Ave
Dallas, TX 75246-2017
Phone (214) 820-3216

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Rockwall Hospital, Rockwall, TX, CCN 670044

Merit-based Incentive Payment System (MIPS)

Final score
93.26 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232117MAMDBody Imaging Physician
260077NYMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2015 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2015 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2015 Accepting new patients
Blue Stone JV LLP CurrentSince Dec 4, 2017 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV, LLP CurrentSince Aug 18, 2021 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2015 Accepting new patients
Btdi JV, LLP CurrentSince Nov 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
American Radiology Consultants PLLC CurrentSince Nov 1, 2016 Accepting new patients
Btdi JV LLP CurrentSince Dec 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Apr 1, 2023 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2015 Accepting new patients
Btdi JV, LLP CurrentSince Jul 12, 2022 Accepting new patients
North Star MRI of Frisco LP CurrentSince Oct 1, 2015 Accepting new patients
Btdi JV LLP CurrentSince Sep 30, 2015 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Btdi JV LLP CurrentSince Feb 1, 2022 Accepting new patients
Btdi JV LLP CurrentSince Jan 1, 2023 Accepting new patients
North Star Plano Parkway, LP CurrentSince Oct 1, 2015 Accepting new patients
Btdi JV LLP CurrentSince Nov 25, 2021 Accepting new patients
Baylor University Medical Center Past Accepting new patients

Locations (25 of 60)

1957 Antilley Rd
Abilene, TX 79606
Phone (325) 690-3854

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

707 Highlander Blvd
Arlington, TX 76015
Phone (817) 307-7533

690 N 14th St
Beaumont, TX 77702
Phone (409) 899-7047

1612 Hospital Pkwy
Bedford, TX 76022
Phone (817) 685-4700

294 Uptown Blvd
Cedar Hill, TX 75104
Phone (972) 293-3569

294 Uptown Blvd
Ste 110
Cedar Hill, TX 75104
Phone (214) 820-2430

411 N Washington Ave
Ste 1000
Dallas, TX 75246
Phone (214) 820-8770

3920 Worth St
Dallas, TX 75246
Phone (214) 443-3000

621 N Hall St
Dallas, TX 75226
Phone (214) 820-0600

3500 Gaston Ave
Dallas, TX 75246

9109 N Central Expy
Ste 100
Dallas, TX 75231

3930 Crutcher St
Dallas, TX 75246
Phone (214) 520-8235

1441 W Jefferson Blvd
Dallas, TX 75208

9109 N Central Expy
Ste 200
Dallas, TX 75231

3900 Junius St
Ste 200
Dallas, TX 75246
Phone (214) 820-2430

3600 Gaston Ave
Ste 404
Dallas, TX 75246
Phone (214) 824-6718

6301 Gaston Ave
Ste 180
Dallas, TX 75214
Phone (214) 826-6700

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

9301 N Central Expy
Ste 200
Dallas, TX 75231
Phone (214) 389-9130

3720 S Interstate 35 E
Denton, TX 76210
Phone (940) 382-1022

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1110 Parker Sq
Flower Mound, TX 75028
Phone (972) 724-1707

8501 Wade Blvd
#220N
Frisco, TX 75034

900 W Magnolia Ave
Ste 201
Ft Worth, TX 76104
Phone (817) 921-6166

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1972836401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 W 38TH ST APT 37G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186362",
            "telephone_number": "617-308-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "617-308-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANKANALA",
        "first_name": "NAVEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-16",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MA",
            "license": "232117",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "260077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.