DR. ANGELA JOBY KANNOOKKADAN OD
NPI 1205720182
Optometrist in Dallas, TX

Q: What is Angela Kannookkadan's NPI number?

The NPI number for Angela Kannookkadan is 1205720182. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Q: What is Angela Kannookkadan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since June 05, 2025PECOS Enrolled

4396 DALLAS FORT WORTH TPKE STE 107, DALLAS, TX 75211(214) 550-5005 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Angela Joby Kannookkadan Od NPPES

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

DR. ANGELA JOBY KANNOOKKADAN OD (NPI 1205720182) is an individual optometrist in Dallas, Texas, licensed in Texas (11451TG) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1205720182

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ANGELA JOBY KANNOOKKADANCredential: OD

Location Address4396 DALLAS FORT WORTH TPKE STE 107Dallas, TX 75211-1351

Mailing Address4396 Dallas Fort Worth Tpke Ste 107Dallas, TX 75211-1351

Phone(214) 550-5005

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 5, 2025

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1205720182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 11451TG

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

4396 DALLAS FORT WORTH TPKE STE 107, Dallas, TX 75211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angela Joby Kannookkadan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204338841

PECOS Enrollment IDI20250904001055

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75211 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

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

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.

Other Providers at the Same Location NPPES

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

GOTO EYE ASSOCIATES LLC

Optometrist

4396 DALLAS FORT WORTH TPKE STE 107
DALLAS, TX 75211

Dallas County (214) 550-5005

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 Angela Kannookkadan's NPI number?

The NPI number for Angela Kannookkadan is 1205720182. It was assigned to this individual provider in the NPPES registry on June 5, 2025.

Where is Angela Kannookkadan located?

Angela Kannookkadan practices at 4396 Dallas Fort Worth Tpke Ste 107, Dallas, TX 75211. The listed phone number is (214) 550-5005.

What is Angela Kannookkadan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Angela Kannookkadan enrolled in Medicare?

Yes. Angela Kannookkadan is registered in the Medicare PECOS enrollment system.

What insurance does Angela Kannookkadan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Angela Kannookkadan 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.

When was this NPI record last updated?

The NPPES record for Angela Kannookkadan was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.