SRIVIDYA KANNAN MD
NPI 1962186833
Family Medicine in Melbourne, FL

Active since June 12, 2023PECOS EnrolledAccepts Medicare Assignment
8055 SPYGLASS HILL RD STE 102, MELBOURNE, FL 32940(321) 842-9551(321) 842-5595 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 31, 2026, Jun 12, 2023 (2 updates tracked since 2023).

About Srividya Kannan Md NPPES

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

SRIVIDYA KANNAN MD (NPI 1962186833) is an individual family medicine provider in Melbourne, Florida, licensed in Florida (ME177886) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tallahassee, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962186833
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSRIVIDYA KANNANCredential: MD
Location Address8055 SPYGLASS HILL RD STE 102Melbourne, FL 32940-8564
Mailing Address8055 Spyglass Hill Rd Ste 102Melbourne, FL 32940-8564 · (321) 842-9551 · Fax (321) 842-5595
Fax(321) 842-5595
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 12, 2023
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1962186833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME177886
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8055 SPYGLASS HILL RD STE 102, Melbourne, FL 32940

Secondary Practice Location 1

Location 11301 Hodges DrTallahassee, FL 32308-4614 · Phone (850) 431-5430

Accepted 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

Srividya Kannan Md 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 ID1951744309
PECOS Enrollment IDI20260717000393
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 Srividya Kannan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
21 W COLUMBIA ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 339 clinicians in this Medicare group

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 32940 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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 4

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

Internal Medicine (Cardiovascular Disease)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Family Medicine
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Surgery (Vascular Surgery)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940
Nurse Practitioner (Family)
8055 SPYGLASS HILL RD STE 102
MELBOURNE, FL 32940

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 Srividya Kannan's NPI number?

The NPI number for Srividya Kannan is 1962186833. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Srividya Kannan located?

Srividya Kannan practices at 8055 Spyglass Hill Rd Ste 102, Melbourne, FL 32940. The listed phone number is (321) 842-9551.

What is Srividya Kannan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Srividya Kannan enrolled in Medicare?

Yes. Srividya Kannan 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 Srividya Kannan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Srividya Kannan reassigns Medicare benefits to Orlando Physicians Network Inc (Orlando, FL). 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 Srividya Kannan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Srividya Kannan accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Cigna HealthCare of Florida, Inc. and 5 other insurers list Srividya Kannan 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 Srividya Kannan was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.