DR. SURESH KANNAN (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1487631081

DR. SURESH KANNAN (MD) is a healthcare provider. based in Maitland, Florida. specializing in PAIN MANAGEMENT, ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. ME83847 (FL). The NPI Number for DR. SURESH KANNAN (MD) is 1487631081

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. SURESH KANNAN (MD)
NPI
1487631081
Phone
(407) 667-0444
Address
291 SOUTHHALL LN
Enumeration Date
27 December 2005
Last Update Date
22 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218411570
Graduation Year
1980 (46 years ago)
PAC ID
0749312510
Group Practice PAC ID
9537059084
Professional Enrollment ID
I20100714000099
Address ID
FL328061110OR76XXXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

671 PAIN MANAGEMENT in FL

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Provider Addresses for DR. SURESH KANNAN (MD)

  • 291, Southhall Lane, Maitland, Orange County, Florida, 32751, United States

    SUITE 201

    MAITLAND, FL 327517274

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Mailing

  • Florida Hospital Orlando Emergency Room, 601, Rollins Street, Orlando, Orange County, Florida, 32803, United States

    ORLANDO, FL 328031248

    Phone: (407) 667-0444

    Fax: (407) 667-4338

    Type: Location

  • 76 UNDERWOOD ST STE 100

    ORLANDO, FL 328061110

    Phone: (321) 841-1570

    Fax: (321) 841-1569

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-07-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100714000099IPain ManagementFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537059084View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YNY
O B S T E T R I C S/ G Y N E C O L O G YFL
-FL
G A S T R O E N T E R O L O G YOK
E N D O C R I N O L O G YFL
Colorectal Surgery (Proctology)NJ
General SurgeryNJ
Physician AssistantFL
Internal MedicineFL
Internal MedicineFL

Reviews

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Frequently asked questions

How is DR. SURESH KANNAN (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. SURESH KANNAN (MD) with NPI 1487631081.
Does CMS list DR. SURESH KANNAN (MD) as active?
Yes — DR. SURESH KANNAN (MD) is active in the NPI listing used on this page.
What is DR. SURESH KANNAN (MD) best known for clinically?
Directory data describes DR. SURESH KANNAN (MD) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Does DR. SURESH KANNAN (MD) list a practice location?
Patients near Maitland, Florida may find DR. SURESH KANNAN (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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