JOY DAVIS KANNOOKADEN DPM
NPI 1821674359
Podiatrist - Foot & Ankle Surgery in Decatur, IN

Q: What is Joy Kannookaden's NPI number?

The NPI number for Joy Kannookaden is 1821674359. It was assigned to this individual provider in the NPPES registry on March 23, 2021.

Q: What is Joy Kannookaden's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Joy Kannookaden was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since March 23, 2021PECOS EnrolledAccepts Medicare Assignment

1100 MERCER AVE, DECATUR, IN 46733(260) 724-2145 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 24, 2024, Mar 23, 2021 (2 updates tracked since 2021).

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About Joy Davis Kannookaden Dpm NPPES

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

JOY DAVIS KANNOOKADEN DPM (NPI 1821674359) is an individual foot & ankle surgery provider in Decatur, Indiana, licensed in Indiana (07001455A) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Adams Memorial Hospital, and maintains a secondary practice location in Dyer.

NPPES Registry Identity

NPI1821674359

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameJOY DAVIS KANNOOKADENCredential: DPM

Location Address1100 MERCER AVEDecatur, IN 46733-2303

Mailing Address1100 Mercer AveDecatur, IN 46733-2303 · (260) 724-2145

Phone(260) 724-2145

Sole ProprietorNo

Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2021

Enumeration DateMarch 23, 2021

Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1821674359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in IN · 07001455A

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1100 MERCER AVE, Decatur, IN 46733

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Secondary Practice Location 1

Location 124 Joliet StDyer, IN 46311-1705 · Phone (219) 865-2141 ext. 45418

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Joy Davis Kannookaden Dpm 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 ID5799185302

PECOS Enrollment IDI20240723003440

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.

Areas of Expertise CMS Part B claims 7

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

69 services45 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

48 services48 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

31 services31 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

28 services28 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

18 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN

OwnershipGovernment - Local

CMS Certification Number151330

Location1100 Mercer AveDecatur, IN 46733 · Adams County

Emergency services Birthing friendly

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.

MRS. MARY ANN WEBB PT

Physical Therapist