Sean M Kane, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP1494 Issued in AZ

Practice address

14510 W Shumway Dr Ste 101
Sun City West, AZ 85375-5815

Phone

(623) 975-1660

Fax

(623) 584-4282

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDJIAA/Endpoint/IDJIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arizona Ear Nose and Throat Physicians PLLC

  • Speech/Language/Hearing Specialist/Technologist
  • Sun City West, AZ
  • NPI 1730365958
  Medicare reassignment NPD
• Privia Medical Group Arizona, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1760441141
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1053389973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14510 W SHUMWAY DR STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755815",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14510 W SHUMWAY DR STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755815",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10503 W Thunderbird Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853513047",
            "country_code": "US",
            "telephone_number": "623-975-1660",
            "fax_number": "623-584-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANE",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP1494",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP1494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726747",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contactus@az-ent.com",
            "affiliation": "N",
            "endpointDescription": "patient fax server",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14510 W Shumway Dr Ste 101",
            "city": "Sun City West",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853755815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julio a Marcolini MD PLLC
• Patricia Kahn, D.O.
• Babita A Kalbag, BA, RBT
• Jasmine Dominique Kalili, PA-C
• Gregory Alan Kammeyer, DDS
• Sunny Kapoor, DO
• Robert R Karpman, MD
• Krishna Kishor Kasireddy, MD
• Paula Marie Kasper, COTA/L
• Paula Marie Kasuboski, NP

• Nurse Practitioner in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.