DR. NIRMALA KANNAN M.D.
NPI 1114014172
Hospitalist in Hayward, CA

Active since October 09, 2006
1090 LA PLAYA DR, HAYWARD, CA 94545(510) 785-5555(510) 280-3116 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Nirmala Kannan M.d. NPPES

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

DR. NIRMALA KANNAN M.D. (NPI 1114014172) is an individual hospitalist provider in Hayward, California, licensed in Florida (ME129839) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1114014172
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. NIRMALA KANNANCredential: M.D.
Location Address1090 LA PLAYA DRHayward, CA 94545-2142
Mailing Address1507 S Hiawassee Rd, Ste 107Orlando, FL 32835-5706 · (650) 574-3778 · Fax (650) 574-0353
Fax(510) 280-3116
Sole ProprietorYes
Enumeration DateOctober 9, 2006
Last NPPES UpdateJune 26, 2018
✔ NPI 1114014172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in FL · ME129839
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License A52786 (CA)
1090 LA PLAYA DR, Hayward, CA 94545

Other Identifiers 1

Medicaid00A527860CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nirmala Kannan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Nirmala Kannan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
2151 W SPRING ST
Monroe, GA 30655
  • Reassigned Medicare billing, Florida enrollment
  • 118 clinicians in this Medicare group
Internal Medicine
1507 S HIAWASSEE RD STE 206
Orlando, FL 32835
  • Reassigned Medicare billing, Florida enrollment
  • 119 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%248 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Physician Assistant
1090 LA PLAYA DR
HAYWARD, CA 94545
Nurse Practitioner (Family)
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Internal Medicine
1090 LA PLAYA DR
HAYWARD, CA 94545
Clinic/Center (Primary Care)
1090 LA PLAYA DR
HAYWARD, CA 94545

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 Nirmala Kannan's NPI number?

The NPI number for Nirmala Kannan is 1114014172. It was assigned to this individual provider in the NPPES registry on October 9, 2006.

Where is Nirmala Kannan located?

Nirmala Kannan practices at 1090 La Playa Dr, Hayward, CA 94545. The listed phone number is (510) 785-5555.

What is Nirmala Kannan's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nirmala Kannan enrolled in Medicare?

Yes. Nirmala Kannan is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nirmala Kannan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirmala Kannan reassigns Medicare benefits to 2 organizations: Hospital Physician Services - Southeast Professional Corporation (Monroe, GA) and Orlando Inpatient Medicine, PA (Orlando, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nirmala Kannan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nirmala Kannan was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.