KANAN S PANDYA PA-S1
NPI 1770356859
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since November 01, 2023PECOS Enrolled
3475 PLYMOUTH RD, ANN ARBOR, MI 48105(517) 759-8551 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kanan S Pandya Pa-s1 NPPES

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

KANAN S PANDYA PA-S1 (NPI 1770356859) is an individual student in an organized health care education/training program in Ann Arbor, Michigan and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1770356859
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKANAN S PANDYACredential: PA-S1
Location Address3475 PLYMOUTH RDAnn Arbor, MI 48105-2550
Mailing Address3475 Plymouth RdAnn Arbor, MI 48105-2550 · (517) 759-8551
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1770356859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
3475 PLYMOUTH RD, Ann Arbor, MI 48105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kanan S Pandya Pa-s1 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567923725
PECOS Enrollment IDI20260917002177
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.

Physician Assistant
3475 PLYMOUTH RD
ANN ARBOR, MI 48105
Student in an Organized Health Care Education/Training Program
3475 PLYMOUTH RD
ANN ARBOR, MI 48105
Student in an Organized Health Care Education/Training Program
3475 PLYMOUTH RD
ANN ARBOR, MI 48105
Physician Assistant
3475 PLYMOUTH RD
ANN ARBOR, MI 48105
Student in an Organized Health Care Education/Training Program
3475 PLYMOUTH RD
ANN ARBOR, MI 48105
Student in an Organized Health Care Education/Training Program
3475 PLYMOUTH RD
ANN ARBOR, MI 48105
Student in an Organized Health Care Education/Training Program
3475 PLYMOUTH RD
ANN ARBOR, MI 48105
Student in an Organized Health Care Education/Training Program
3475 PLYMOUTH RD
ANN ARBOR, MI 48105

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 Kanan Pandya's NPI number?

The NPI number for Kanan Pandya is 1770356859. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Kanan Pandya located?

Kanan Pandya practices at 3475 Plymouth Rd, Ann Arbor, MI 48105. The listed phone number is (517) 759-8551.

What is Kanan Pandya's specialty?

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

Is Kanan Pandya enrolled in Medicare?

Yes. Kanan Pandya is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kanan Pandya was last updated on November 1, 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.