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TOMI KANNINEN M.D.
NPI 1396199873
Obstetrics & Gynecology - Maternal & Fetal Medicine in New York, NY

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
531 MAIN ST APT 523, NEW YORK, NY 10044(646) 379-6983 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tomi Kanninen M.d. NPPES

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

TOMI KANNINEN M.D. (NPI 1396199873) is an individual maternal & fetal medicine provider in New York, New York, licensed in New Jersey (25MA11783900) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1396199873
Entity TypeIndividualMale
Primary Taxonomy207VM0101X
Provider Legal NameTOMI KANNINENCredential: M.D.
Location Address531 MAIN ST APT 523New York, NY 10044-0156
Mailing Address531 Main St Apt 523New York, NY 10044-0156 · (646) 379-6983
Phone(646) 379-6983
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 20, 2016
Last NPPES UpdateSeptember 18, 2023
NPPES CertifiedSeptember 18, 2023
✔ NPI 1396199873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in NJ · 25MA11783900
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
531 MAIN ST APT 523, New York, NY 10044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tomi Kanninen 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 ID4981025350
PECOS Enrollment IDI20230814000766
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.

Medicare Billing Reassignment

Medicare enrollment records show Tomi Kanninen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
30 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10044 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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 Tomi Kanninen's NPI number?

The NPI number for Tomi Kanninen is 1396199873. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Tomi Kanninen located?

Tomi Kanninen practices at 531 Main St Apt 523, New York, NY 10044. The listed phone number is (646) 379-6983.

What is Tomi Kanninen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Tomi Kanninen enrolled in Medicare?

Yes. Tomi Kanninen 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.

Which organization bills Medicare for Tomi Kanninen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tomi Kanninen reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Tomi Kanninen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tomi Kanninen accept?

Health plans from Oscar Health list Tomi Kanninen 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 Tomi Kanninen was last updated on September 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.