Individual provider Active NPI

Ziad Kanaan, MD

  • Gastroenterology Physician
  • Dearborn, MI
National Provider Identifier
1245598606
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
4301101616 Issued in MI
Practice address
18100 Oakwood Blvd Ste 205
Dearborn, MI 48124-4085
Phone
(313) 438-7880
Fax
(313) 438-7882
NPI assigned
Apr 24, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301101616 MI Primary

Addresses

Primary practice location

18100 Oakwood Blvd Ste 205
Dearborn, MI 48124-4085

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

5452 Fort St Ste 200
Trenton, MI 48183-4638
Phone (734) 642-2727

Other practice location 2

18100 Oakwood Blvd Ste 100
Dearborn, MI 48124-4085
Phone (313) 253-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zkanaan934863@direct.beaumont.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180611000210 MI Practitioner - GastroenterologyPractitioner - Internal Medicine 6800198177 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Physician GroupGroup PAC ID 8628087681, 399 clinicians

Practice addresses (Care Compare)

3990 John R St
Detroit, MI 48201-2018
Phone (313) 745-8040

Hospital & facility affiliations

  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Dec 1, 2021 Accepting new patients
Ella E M Brown Charitable Circle Gastroenterology CurrentSince Aug 1, 2018 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Apr 1, 2019 Accepting new patients
University Physician Group CurrentSince Apr 11, 2023 Accepting new patients
Michigan Healthcare Professionals PC Gastroenterology CurrentSince Dec 1, 2021 Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Aug 1, 2018 Accepting new patients

Locations

18100 Oakwood Blvd
Ste 205
Dearborn, MI 48124
Phone (313) 438-7880

18100 Oakwood Blvd
Ste 100
Dearborn, MI 48124
Phone (313) 240-7668

400 Mack Ave
Detroit, MI 48201
Phone (313) 448-9006

4100 John R St
Detroit, MI 48201
Phone (313) 576-8530

400 Mack Ave
Ste 2
Detroit, MI 48201
Phone (313) 448-9006

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

31995 Northwestern Hwy
Farmington Hills, MI 48334
Phone (248) 538-4701

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27301 Dequindre Rd
Ste 314
Madison Hts, MI 48071
Phone (248) 399-4400

215 E Mansion St
Ste 3A
Marshall, MI 49068
Phone (269) 781-2658

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

5452 Fort St
Ste 200
Trenton, MI 48183
Phone (734) 642-2295

1560 E Maple Rd
Ste 200
Troy, MI 48083
Phone (248) 581-5200

Interoperability endpoints

  • Direct secure messaging: zkanaan934863@direct.beaumont.edu
  • Direct secure messaging: ziad.kanaan.1@19711.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1245598606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 OAKWOOD BLVD STE 205",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244085",
            "telephone_number": "313-438-7880",
            "fax_number": "313-438-7882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5452 Fort St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481834638",
            "country_code": "US",
            "telephone_number": "734-642-2727",
            "fax_number": "734-642-2725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18100 Oakwood Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481244085",
            "country_code": "US",
            "telephone_number": "313-253-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANAAN",
        "first_name": "ZIAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301101616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zkanaan934863@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "18100 Oakwood Blvd Ste 205",
            "city": "Dearborn",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481244085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.