Pegah Kannar, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45020 Issued in AL

Practice address

817 Princeton Ave SW Ste 210
Birmingham, AL 35211-1348

Phone

(205) 783-3505

Fax

(205) 783-3508

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

University of Alabama School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103
• Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkannar88458@baptisthealthaldirect.org

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.

• Baptist Health Centers, LLC

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  Medicare reassignment Care Compare group NPD
• Baptist Health Centers LLC

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD
• BBH PBMC, LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  NPD (past)

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

• Affinity Hospital LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1023061405
  Care Compare affiliation
• BBH PBMC, LLC

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  Care Compare affiliation

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1982276499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352021407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111348",
            "telephone_number": "205-783-3505",
            "fax_number": "205-783-3508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Pepperell Pkwy",
            "address_purpose": "LOCATION",
            "city": "Opelika",
            "state": "AL",
            "postal_code": "368015422",
            "country_code": "US",
            "telephone_number": "334-528-3035",
            "fax_number": "334-528-1661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNAR",
        "first_name": "PEGAH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "45020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pegah.kannar@eamc.org",
            "affiliation": "N",
            "address_1": "2000 Pepperell Pkwy",
            "city": "Opelika",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368015422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hee Young Kang
• Shalanda Sheree Kangethe, LMFT, EDD
• Sheelagh Muthoni Kaniaru
• Pongkiat Kankirawatana, M.D.
• Suthida Kankirawatana, M.D.
• Naga Sai Dhanvi Kantamneni
• Namita Kantawala
• Julie Kanter Washko, MD
• Hannah Kantmann
• David E Kantrowitz, MD

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.

Verify at the official NPI Registry.