Individual provider Active NPI

George E Kikano, MD

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1396779591
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301107535 Issued in MI
Practice address
Cmu Health Services
202 Foust Hall
Mt Pleasant, MI 48859-0001
Phone
(989) 774-1748
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-000294 OH
Family Medicine Physician 207Q00000X 4301107535 MI Primary

Addresses

Primary practice location

Cmu Health Services
202 Foust Hall
Mt Pleasant, MI 48859-0001

Mailing address

Cmu Health Services
202 Foust Hall
Mt Pleasant, MI 48859-0001
Phone (989) 774-1748

Other identifiers 9

IdentifierTypeStateIssuer
000000135266OtherOHANTHEM
000000530390OtherOHANTHEM
000000224230OtherUNISON
P00425619OtherOHRAILROAD MEDICARE
363701OtherWELLCARE
737677OtherBUCKEYE
0838759MedicaidOH
635184OtherOHAETNA
80044870OtherOHRAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gkikano43288@direct.covenanthealthcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050525000217 OH Practitioner - Family Practice 7810894417 Reassigns benefits to 1 organization
I20150922001159 MI Practitioner - Family Practice 7810894417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

6801 Mayfield Rd
Mayfield Heights, OH 44124-2270

8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950

9500 Euclid Ave
Cleveland, OH 44195-0001

Hospital & facility affiliations

  • Cleveland Clinic Home Care Home health agency, Independence, OH, CCN 367142
  • Hillcrest Hospital Hospital, Mayfield Heights, OH, CCN 360230
  • Cleveland Clinic Hospital, Cleveland, OH, CCN 360180
  • Euclid Hospital Hospital, Euclid, OH, CCN 360082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301107535MIMDFamily Medicine Physician
35-000294OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Mar 12, 2017 Accepting new patients
Saginaw Cooperative Hospitals, Inc Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Saginaw Cooperative Hospital Inc CurrentSince Sep 1, 2015 Accepting new patients
Saginaw Cooperative Hospitals, Inc Current Accepting new patients
University Family Medicine Association Family Medicine PastSince Jul 1, 1991 Accepting new patients

Locations

1575 Concentric Blvd
Ste 1
Saginaw, MI 48604
Phone (989) 583-6800

912 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4100

1000 Houghton Ave
Saginaw, MI 48602
Phone (989) 583-6800

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

11100 Euclid Ave
Cleveland Heights, OH 44106

6801 Mayfield Rd
Ste 444
Mayfield Heights, OH 44124
Phone (440) 449-8890

Interoperability endpoints

  • Direct secure messaging: gkikano43288@direct.covenanthealthcare.com

Organizations & group practices 5

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 4

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1396779591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CMU HEALTH SERVICES",
            "address_2": "202 FOUST HALL",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CMU HEALTH SERVICES",
            "address_2": "202 FOUST HALL",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKANO",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-000294",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000135266",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000530390",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "000000224230",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00425619",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "363701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUCKEYE",
            "identifier": "737677",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0838759",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "635184",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "80044870",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkikano43288@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "CMU Health Services",
            "address_2": "202 Foust Hall",
            "city": "MT Pleasant",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488590001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.