Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487072906 Individual Practitioner Male Practitioner

Dr. Jeril Anthony Kannampuzha , MD

Pediatrics • Gainesville, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jeril Kannampuzha, MD is a registered healthcare professional specializing in Pediatrics in Gainesville, TX. Practice services are available at 1902 HOSPITAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1902 Hospital Blvd

Gainesville, TX 762402007

Telephone 9406128750
Fax 9406682663
Associated Practice Facility / Clinic
🏢 The Dialysis Cottage Llc Facility NPI 1922000587

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Gainesville, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Gainesville, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-10-10
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX Q9840

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 955120

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Patrick Kwan , MD

General Practice

NPI 1073578001

Doctor of Medicine (M.D.)

Grant Webb

Nurse Practitioner

NPI 1144645177
Lauren Taylor , NP

Nurse Practitioner - Family

NPI 1164033635

Nurse Practitioner

Jeremy Rinner , FNP

Nurse Practitioner - Family

NPI 1346607264

Family Nurse Practitioner

NPI 1518457035

Doctor of Osteopathic Medicine (D.O.)

Bethany Chico

Nurse Practitioner - Family

NPI 1629611793

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location October 10, 2023

Registered at 1902 HOSPITAL BLVD, GAINESVILLE, TX 762402007 (Tel: 9406128750)

📍
Updated Business Mailing Address October 10, 2023

Registered at 1900 HOSPITAL BLVD, GAINESVILLE, TX 762402002 (Tel: 9406651751)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2023

Pediatrics (License #955120 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2020

Pediatrics (License #Q9840 in TX)

📍
Updated Practice Location August 09, 2018

Registered at 1400 COLLEGE DR STE 204, TEXARKANA, TX 75503 (Tel: 9037929327)

📍
Updated Business Mailing Address August 09, 2018

Registered at PO BOX 1326, MARSHALL, TX 756711326 (Tel: 9039273782)

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2016

Registered at 1400 COLLEGE DR, TEXARKANA, TX 755033536 (Tel: 9037929327)

📍
Updated Business Mailing Address August 30, 2016

Registered at 1400 COLLEGE DR, TEXARKANA, TX 755033536 (Tel: 9037929327)

👤
Provider Name / Credentials Updated August 30, 2016

Recorded as JERIL KANNAMPUZHA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Pediatrics (License #Q9840 in TX)

🟢
Initial NPI Registration & Enumeration April 01, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1487072906
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2014
Last Update: October 10, 2023
Sole Proprietor: No

Mailing Address

1900 Hospital Blvd

Gainesville, TX 762402002

Phone: 9406651751

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.