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DR. KANNAN PUDUR SAMY M.D.
NPI 1063706992
Surgery in Charleston, SC

Active since June 08, 2011PECOS EnrolledAccepts Medicare Assignment
96 JONATHAN LUCAS ST RM 409B, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Oct 16, 2023, Mar 20, 2021 and 1 more (4 updates tracked since 2021).

About Dr. Kannan Pudur Samy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KANNAN PUDUR SAMY M.D. (NPI 1063706992) is an individual surgery provider in Charleston, South Carolina, licensed in South Carolina (MD93025) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063706992
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. KANNAN PUDUR SAMYCredential: M.D.
Location Address96 JONATHAN LUCAS ST RM 409BCharleston, SC 29425-8900
Mailing Address96 Jonathan Lucas St Rm 409bCharleston, SC 29425-8900 · (843) 792-1414
Phone(843) 792-1414
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJune 8, 2011
Last NPPES UpdateJune 9, 20264 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1063706992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in SC · MD93025
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedTransplant SurgeryTaxonomy 204F00000X · License MD93025 (SC)
96 JONATHAN LUCAS ST RM 409B, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, First Choice Next, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kannan Pudur Samy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224275441
PECOS Enrollment IDI20241021001595
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Transplantation of donor kidney 50360
Transplantation of a donor kidney involves replacing a non-functioning kidney with a healthy one from a donor. This procedure can significantly improve the quality of life for those with serious kidney disease. The new kidney can perform the essential task of filtering blood and removing waste.
14 services14 patients
Preparation of donor kidney for transplantation 50323
Preparation of a kidney for transplantation involves careful evaluation of the donor organ. It includes checking for diseases, ensuring compatibility, and preserving the organ in a cold solution until transplantation. This process ensures the best outcome for the recipient.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kannan Samy's NPI number?

The NPI number for Kannan Samy is 1063706992. It was assigned to this individual provider in the NPPES registry on June 8, 2011.

Where is Kannan Samy located?

Kannan Samy practices at 96 Jonathan Lucas St Rm 409B, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Kannan Samy's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Kannan Samy enrolled in Medicare?

Yes. Kannan Samy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kannan Samy accept?

Health plans from BlueCross BlueShield of South Carolina, First Choice Next and UnitedHealthcare list Kannan Samy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kannan Samy affiliated with any hospitals?

According to CMS data, Kannan Samy is affiliated with Musc Medical Center.

When was this NPI record last updated?

The NPPES record for Kannan Samy was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.