DR. KEVIN LUKE KANALLAKAN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1710466305

DR. KEVIN LUKE KANALLAKAN (CRNA) is a healthcare provider. based in Richmond heights, Missouri. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2018029592 (MO). The NPI Number for DR. KEVIN LUKE KANALLAKAN (CRNA) is 1710466305

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN LUKE KANALLAKAN (CRNA)
NPI
1710466305
Phone
(314) 768-8000
Address
6420 CLAYTON RD
Enumeration Date
14 August 2018
Last Update Date
14 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8447300759
Graduation Year
2018 (8 years ago)
PAC ID
9436493244
Group Practice PAC ID
4981912607
Professional Enrollment ID
I20181205002642
Address ID
MO633049101WE4801XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

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Provider Addresses for DR. KEVIN LUKE KANALLAKAN (CRNA)

  • SSM Health St. Mary's Hospital: Hospital Building, 6420, Clayton Road, Hi-Pointe, Richmond Heights, Saint Louis County, Missouri, 63117, United States

    RICHMOND HEIGHTS, MO 631171811

    Phone: (314) 768-8000

    Type: Location

  • Depot Drive, Glen Carbon, Madison County, Illinois, 62034, United States

    GLEN CARBON, IL 620342755

    Phone:

    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: 2021-01-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20181205002642ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20210122000474ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope6565$0
00142Anesthesia for lens surgery5146$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope3433$0
00910Anesthesia for other procedure on urinary system through urethra1717$0
00812Anesthesia for exam of colon using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 63117)

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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: 4981912607View full group profile
NameSpecialtyState
-IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

How do I look up DR. KEVIN LUKE KANALLAKAN (CRNA) by NPI?
Use NPI 1710466305 when you need to reference DR. KEVIN LUKE KANALLAKAN (CRNA) in forms, claims, or directories.
Does this profile mean DR. KEVIN LUKE KANALLAKAN (CRNA) is currently active?
Yes — DR. KEVIN LUKE KANALLAKAN (CRNA) appears active in the national provider directory.
Can you summarize DR. KEVIN LUKE KANALLAKAN (CRNA)'s specialty in plain language?
Clinically, the directory lists DR. KEVIN LUKE KANALLAKAN (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KEVIN LUKE KANALLAKAN (CRNA)?
The page summarizes Richmond Heights, Missouri for DR. KEVIN LUKE KANALLAKAN (CRNA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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