DR. VIJAY KUMAR KANNAM M.D.
NPI 1699039610
Family Medicine in Gravette, AR
About Dr. Vijay Kumar Kannam M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. VIJAY KUMAR KANNAM M.D. (NPI 1699039610) is an individual family medicine provider in Gravette, Arkansas, licensed in Arkansas (E-9316) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rogers, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Vijay Kumar Kannam 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72736 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAVETTE, AR 72736
GRAVETTE, AR 72736
GRAVETTE, AR 72736
GRAVETTE, AR 72736
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 Vijay Kannam's NPI number?
The NPI number for Vijay Kannam is 1699039610. It was assigned to this individual provider in the NPPES registry on June 25, 2012.
Where is Vijay Kannam located?
Vijay Kannam practices at 1101 Jackson St SW, Gravette, AR 72736. The listed phone number is (479) 787-5221.
What is Vijay Kannam's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Vijay Kannam enrolled in Medicare?
Yes. Vijay Kannam 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.
What insurance does Vijay Kannam accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 6 other insurers list Vijay Kannam 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 Vijay Kannam was last updated on October 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Vijay Kumar Kannam, M.D. · NPI 1699039610
Family Medicine physician in Gravette, Arkansas. Individual provider, active in the CMS NPPES registry since June 25, 2012.
## Identity
- **NPI:** 1699039610 (Entity type: Individual)
- **Enumerated:** June 25, 2012
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** E-9316 (Arkansas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1101 JACKSON ST SW, Gravette, AR 72736-9121
- **Phone:** (479) 787-5221 · **Fax:** (479) 787-5613
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** October 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699039610) · Data from the CMS NPPES public registry.