DR. VIJAY CHRISTOPHER KANNAN (M.D.) – Emergency Medicine Physician, NPI 1699188524
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,722 INTERNAL MEDICINE in MA
Provider Addresses for DR. VIJAY CHRISTOPHER KANNAN (M.D.)
1 DEACONESS ROAD W/CC2
BOSTON, MA 02215
Phone: (617) 754-2347
Type: Location
13400 E SHEA BLVD
SCOTTSDALE, AZ 852595499
Phone: (480) 301-8000
Type: Location
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: 2025-04-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191007001520 | I | Emergency Medicine | TX | TBD |
| I20220404000322 | I | Emergency Medicine | AZ | TBD |
| I20241009004647 | I | Internal Medicine | MD | TBD |
| I20250430002393 | I | Emergency Medicine | DC | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 112 | 112 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 66 | 65 | $0 |
Insurance plans in this area (ZIP 02215)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | PA | |
| Emergency Medicine | MD | |
| Emergency Medicine | MI | |
| Emergency Medicine | NJ | |
| Physician Assistant | AK | |
| Emergency Medicine | PA | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Physician Assistant | MD |
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