KANNAN MANICKAM MD – NPI #1023018074
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

KANNAN MANICKAM is an urologist located in BALTIMORE, MD. NPPES has assigned the NPI number 1023018074 to KANNAN MANICKAM on July 29, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on May 30, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KANNAN MANICKAM below.

NPI Profile for
KANNAN MANICKAM

NPI Number
1023018074
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KANNAN MANICKAM
Credentials
MD
Primary location
6820 HOSPITAL DR
SUITE 210
BALTIMORE, MD 21237-4352
Phone: (410) 391-6131 Fax: (410) 391-6144
Mailing address
10200 GRAND CENTRAL AVE STE 220
OWINGS MILLS, MD 21117-4366
Phone: (410) 581-1600 Fax: (410) 581-1600
Sole Proprietor
No
Updated
Certification Date
May 30, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)		 IN 01056563A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) - Graduated 1996
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KANNAN MANICKAM is affiliated with the following medical group(s):
  • HOSPITAL
    • MEDSTAR FRANKLIN SQUARE MEDICAL CENTER
      9000 FRANKLIN SQUARE DRIVE
      ROSEDALE, MD 21237
    • UMD UPPER CHESAPEAKE MEDICAL CENTER
      500 UPPER CHESAPEAKE DRIVE
      BEL AIR, MD 21014

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