JESSICA M KANIS MD NPI 1558442715

NPI Information

  • NPI: 1558442715
  • Provider Name: JESSICA M KANIS, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 705 RILEY DRIVE
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 944-3936

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NPI Details

Jessica M Kanis, MD is a pediatric emergency medicine pediatrics in Indianapolis, IN with 20 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Jessica M Kanis, MD NPI is 1558442715. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

705 RILEY DRIVE
INDIANAPOLIS, IN
ZIP 46202-109
Phone: (317) 944-3936
Fax: (317) 948-5844

The NPI 1558442715 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatrics01072885AINDIANANo
2208000000XPediatrics35.094922OHIONo
32083C0008XPreventive MedicineClinical Informatics01072885AINDIANANo
42080P0204XPediatricsPediatric Emergency Medicine01072885AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000835642OTHERINDIANAANTHEM PIN
2201057370MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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