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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

BHARATH DURAISAMY SWAMI KANNAN
NPI 1184542144
Student in an Organized Health Care Education/Training Program in Surprise, AZ

Active since July 08, 2026PECOS Enrolled
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374(602) 349-9166 Get Directions Write a Review

NPPES record added: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bharath Duraisamy Swami Kannan NPPES

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

BHARATH DURAISAMY SWAMI KANNAN (NPI 1184542144) is an individual student in an organized health care education/training program in Surprise, Arizona and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184542144
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBHARATH DURAISAMY SWAMI KANNAN
Location Address13995 W STATLER BLVD STE 200Surprise, AZ 85374-5503
Mailing Address13995 W Statler Blvd Ste 200Surprise, AZ 85374-5503 · (602) 349-9166
Phone(602) 349-9166
Sole ProprietorNo
Enumeration DateJuly 8, 2026
NPPES CertifiedJuly 8, 2026
✔ NPI 1184542144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
13995 W STATLER BLVD STE 200, Surprise, AZ 85374
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bharath Duraisamy Swami Kannan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

GISELLE MARY ARIAS ORTIZ MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
FNU SWATI
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
DR. DANNIEL CHRISTOPHER SANCHEZ MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
GURVINDER SINGH DHALIWAL M.D.
Family Medicine
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (623) 478-3100
ERNESTO INIGUEZ JR. MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
MUSAB KHAN MD
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100
GARIN B BERGESON DO
Family Medicine (Sports Medicine)
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (623) 876-3870
ADRIEL MIGUEL RODRIGUEZ RODRIGUEZ
Student in an Organized Health Care Education/Training Program
13995 W STATLER BLVD STE 200
SURPRISE, AZ 85374
Maricopa County (602) 478-3100

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 Bharath Duraisamy Swami Kannan's NPI number?

The NPI number for Bharath Duraisamy Swami Kannan is 1184542144. It was assigned to this individual provider in the NPPES registry on July 8, 2026.

Where is Bharath Duraisamy Swami Kannan located?

Bharath Duraisamy Swami Kannan practices at 13995 W Statler Blvd Ste 200, Surprise, AZ 85374. The listed phone number is (602) 349-9166.

What is Bharath Duraisamy Swami Kannan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bharath Duraisamy Swami Kannan enrolled in Medicare?

Yes. Bharath Duraisamy Swami Kannan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bharath Duraisamy Swami Kannan was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.