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DR. KEVIN LUKE KANALLAKAN CRNA
NPI 1710466305
Nurse Anesthetist, Certified Registered in Richmond Heights, MO

Active since August 14, 2018Accepts Medicare Assignment
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117(314) 768-8000 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Kevin Luke Kanallakan Crna NPPES

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

DR. KEVIN LUKE KANALLAKAN CRNA (NPI 1710466305) is an individual nurse anesthetist, certified registered in Richmond Heights, Missouri, licensed in Missouri (2018029592) and active in the NPI registry since August 2018. He is affiliated with Osf Saint Anthony's Health Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710466305
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDR. KEVIN LUKE KANALLAKANCredential: CRNA
Location Address6420 CLAYTON RDRichmond Heights, MO 63117-1811
Mailing Address78 Depot DrGlen Carbon, IL 62034-2755
Phone(314) 768-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
✔ NPI 1710466305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MO · 2018029592
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
6420 CLAYTON RD, Richmond Heights, MO 63117
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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 and accepts Medicare assignment

Dr. Kevin Luke Kanallakan Crna 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 ID9436493244
PECOS Enrollment IDI20181205002642, I20210122000474

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
54 services53 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
49 services41 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
23 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf Saint Anthony's Health Center

Acute Care Hospitals · Alton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140052
LocationSt Anthony's WayAlton, IL 62002 · Madison County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 20

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

KRISTA HARRY PHARMD
Pharmacist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8341
ANDERSON WEST JR. REGISTERED NURSE
Registered Nurse
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8644
VICTORIA CERNETICH MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
DR. SHOUYING DU M.D
Pathology (Anatomic Pathology & Clinical Pathology)
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 344-7525
AUDREY KATE DOMBROWSKI MS, RD, LD
Dietitian, Registered
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8891
MARISA CLEMENTE
Occupational Therapist
6420 CLAYTON RD
RICHMOND HEIGHTS, MO 63117
St. Louis County (314) 768-8000
LAUREN VALERIA EVELTI
Student in an Organized Health Care Education/Training Program
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8000
PAMELA HAMPTON CRNA
Nurse Anesthetist, Certified Registered
6420 CLAYTON RD
SAINT LOUIS, MO 63117
St. Louis County (314) 768-8442

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 Kevin Kanallakan's NPI number?

The NPI number for Kevin Kanallakan is 1710466305. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Kevin Kanallakan located?

Kevin Kanallakan practices at 6420 Clayton Rd, Richmond Heights, MO 63117. The listed phone number is (314) 768-8000.

What is Kevin Kanallakan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kevin Kanallakan enrolled in Medicare?

Yes. Kevin Kanallakan 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.

Is Kevin Kanallakan affiliated with any hospitals?

According to CMS data, Kevin Kanallakan is affiliated with Osf Saint Anthony's Health Center.

When was this NPI record last updated?

The NPPES record for Kevin Kanallakan was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.