Mary C Kannankeril Md.,pa
NPI 1538406574 · Psychiatry Physician · Montville, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary C Kannankeril Md.,pa is a Psychiatry Physician organization in Montville, NJ (NPI 1538406574).
Provider details
- NPI number
- 1538406574
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Kannankeril, Owner(973) 276-0041
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-01-10
- Last updated
- 2023-11-20
- Certified
- 2023-11-20
Frequently asked questions
- What is Mary C Kannankeril Md.,pa's NPI number?
- Mary C Kannankeril Md.,pa's National Provider Identifier (NPI) is 1538406574, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary C Kannankeril Md.,pa?
- Mary C Kannankeril Md.,pa is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Mary C Kannankeril Md.,pa located?
- Mary C Kannankeril Md.,pa's practice location on file with NPPES is 170 Changebridge Rd, Montville, NJ 07045-9115.
- What is Mary C Kannankeril Md.,pa's phone number?
- The practice phone number listed in the NPPES registry for Mary C Kannankeril Md.,pa is (973) 276-0041.
- Does Mary C Kannankeril Md.,pa accept Medicare?
- Mary C Kannankeril Md.,pa is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mary C Kannankeril Md.,pa?
- The authorized official listed on Mary C Kannankeril Md.,pa's NPPES record is Mary Kannankeril, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary C Kannankeril Md.,pa's NPI active?
- Yes — Mary C Kannankeril Md.,pa's NPI (1538406574) is active in the NPPES registry as of the last update on 2023-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.