{"npi":"1801983390","type":"NPI-1","status":"active","name":{"display":"Naganna Channaveeraiah M.D, Mba, Cpe","other":[],"first":"NAGANNA","last":"CHANNAVEERAIAH","credential":"M.D, MBA, CPE"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"FL","license":"ME123689"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"NY","license":"276303"}]},"addresses":[{"purpose":"LOCATION","street_1":"121 DEKALB AVE","city":"BROOKLYN","state":"NY","postal_code":"11201","country_code":"US","phone":"7184559000","fax":"7184526112"},{"purpose":"MAILING","street_1":"2021 PROFESSIONAL CENTER DR STE 100","city":"ORANGE PARK","state":"FL","postal_code":"320734461","country_code":"US","phone":"9046883000","fax":"9046883001"}],"license":{"state":"NY","number":"276303"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1801983390","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190723000901","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"NE","pac_id":"3971666280"},{"enrlmt_id":"I20260209002684","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"GA","pac_id":"3971666280"}]},"enumeration_date":"2006-10-06","last_updated":"2018-05-15","_meta":{"source":"NPPES","snapshot_date":"2018-05-15","doc_url":"https://findmynpi.com/api"}}