Individual provider Active NPI

Elias Kanaan, M.D.

  • Internal Medicine Physician
  • Clearwater, FL
National Provider Identifier
1265409486
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0073741 Issued in FL
Practice address
1173 Turner St
Clearwater, FL 33756-4135
Phone
(727) 298-8694
Fax
(727) 445-7566
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0073741 FL Primary

Addresses

Primary practice location

1173 Turner St
Clearwater, FL 33756-4135

Mailing address

1173 Turner St
Clearwater, FL 33756-4135
Phone (727) 298-8694

Other identifiers 1

IdentifierTypeStateIssuer
252805300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040430000867 FL Practitioner - Internal MedicinePractitioner - General Practice 7315934296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Hospitalists of PinellaGroup PAC ID 0648267609, 24 clinicians
Elias Kanaan MD PAGroup PAC ID 8224094941, 3 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1173 Turner St
Clearwater, FL 33756-4135
Phone 7272988496210

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Clearwater, FL, CCN 109687
  • Baycare Home Care Inc Home health agency, Largo, FL, CCN 107212
  • Baycare Home Care Inc Home health agency, Dunedin, FL, CCN 107415
  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • HCA Florida Largo Hospital Hospital, Largo, FL, CCN 100248
  • Mease Dunedin Hospital Hospital, Dunedin, FL, CCN 100043
  • Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055
  • Encompass Health Rehabilitation Hospital of Largo Inpatient rehabilitation facility, Largo, FL, CCN 103037
  • Baycare Alliant Hospital Long-term care hospital, Dunedin, FL, CCN 102021
  • Morton Plant Rehabilitation Center Nursing home, Belleair, FL, CCN 105128
  • Oak Manor Healthcare & Rehabilitation Center Nursing home, Largo, FL, CCN 105248
  • Oaks of Clearwater, the Nursing home, Clearwater, FL, CCN 105323

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0073741FLMDInternal Medicine Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Elias Kanaan MD PA Internal Medicine CurrentSince May 4, 1999 Accepting new patients
Community Hospitalists of Pinella CurrentSince Feb 1, 2004 Accepting new patients

Locations

1173 Turner St
Clearwater, FL 33756
Phone (727) 298-8496

1159 Turner St
Clearwater, FL 33756
Phone (727) 298-8496

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA/Endpoint/ADDJAA
  • Direct secure messaging: elias.kanaan@epmdpa.eclinicaldirectplus.com

Organizations & group practices 2

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1265409486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 TURNER ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564135",
            "telephone_number": "727-298-8694",
            "fax_number": "727-445-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 TURNER ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564135",
            "telephone_number": "727-298-8694",
            "fax_number": "727-445-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAAN",
        "first_name": "ELIAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0073741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252805300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.