Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

NITIN KANNEGANTI MD
NPI 1235872755
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since April 14, 2022PECOS Enrolled
621 N HALL ST, DALLAS, TX 75226(214) 820-0600 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2026, Jul 7, 2025, Apr 14, 2022 (3 updates tracked since 2022).

About Nitin Kanneganti Md NPPES

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

NITIN KANNEGANTI MD (NPI 1235872755) is an individual student in an organized health care education/training program in Dallas, Texas, licensed in Texas (BP30096193) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tyler.

NPPES Registry Identity

NPI1235872755
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNITIN KANNEGANTICredential: MD
Location Address621 N HALL STDallas, TX 75226-1339
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200
Sole ProprietorNo
Enumeration DateApril 14, 2022
Last NPPES UpdateJuly 12, 20263 updates tracked since enumeration
NPPES CertifiedJuly 12, 2026
NPI 1235872755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in TX · BP30096193
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.
621 N HALL ST, Dallas, TX 75226

Secondary Practice Location 1

Location 111937 US Highway 271Tyler, TX 75708-3154 · Phone (903) 877-7777

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nitin Kanneganti Md 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.

Internal Medicine (Cardiovascular Disease)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Internal Medicine (Clinical Cardiac Electrophysiology)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Nurse Practitioner
621 N HALL ST
DALLAS, TX 75226
Internal Medicine (Cardiovascular Disease)
621 N HALL ST
DALLAS, TX 75226
Internal Medicine (Cardiovascular Disease)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Internal Medicine (Clinical Cardiac Electrophysiology)
621 N HALL ST, SUITE 400
DALLAS, TX 75226
Surgery (Vascular Surgery)
621 N HALL ST, STE 100
DALLAS, TX 75226
Physician Assistant (Medical)
621 N HALL ST, SUITE 400
DALLAS, TX 75226

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 Nitin Kanneganti's NPI number?

The NPI number for Nitin Kanneganti is 1235872755. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Nitin Kanneganti located?

Nitin Kanneganti practices at 621 N Hall St, Dallas, TX 75226. The listed phone number is (214) 820-0600.

What is Nitin Kanneganti's specialty?

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

Is Nitin Kanneganti enrolled in Medicare?

Yes. Nitin Kanneganti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nitin Kanneganti was last updated on July 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.