Active NPI
Scott Kanagy, DO
- Emergency Medicine Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 02001963A
- Practice address
- 1201 S Main St
Dept: Ed
Crown Point, IN 46307-8481 - Phone
- (219) 757-6310
- Fax
- (219) 757-6312
- NPI assigned
- Apr 24, 2006
- Last updated
- Aug 3, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 02001963A | IN | Primary |
Addresses
Primary practice location
1201 S Main St
Dept: Ed
Crown Point, IN 46307-8481
Mailing address
1201 S Main St
Dept: Ed
Crown Point, IN 46307-8481
Phone (219) 757-6310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200392360 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2038 Lariat CT
Centerville, OH 45458-2595
4535 Dressier Rd NW
Canton, OH 44718-2545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthony Medical Center | Past | Accepting new patients | |
| Webster Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Atrium Medical Center | Hospital | Corporate Director | May 25, 2023 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Cincinnati, OH
- NPI 1922483213
-
dba Franciscan Physician Network
- Multi-Specialty Clinic/Center
- Crown Point, IN
- NPI 1568402774
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1851339998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1194781781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"address_2": "DEPT: ED",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078481",
"telephone_number": "219-757-6310",
"fax_number": "219-757-6312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"address_2": "DEPT: ED",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078481",
"telephone_number": "219-757-6310",
"fax_number": "219-757-6312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAGY",
"first_name": "SCOTT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "02001963A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200392360",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.