Active NPI
Zahi Y Kanaan, DO
- Family Medicine Physician
- Fruitport, MI
National Provider Identifier
1407543010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151016228
- Practice address
- 3443 Farr Rd
Fruitport, MI 49415-8779 - Phone
- (231) 672-2900
- NPI assigned
- Apr 24, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5151016228 | MI | Primary |
Addresses
Primary practice location
3443 Farr Rd
Fruitport, MI 49415-8779
Mailing address
1675 Leahy St Ste 315a
Muskegon, MI 49442-5543
Phone (630) 400-7259
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260622003336 | MI | Practitioner - Family Practice | 0042783078 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8175 Reliable Pkwy
Chicago, IL 60686-0081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151016228 | MI | MD | Family Medicine Physician |
Interoperability endpoints
- zkanaan2726352@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1407543010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 LEAHY ST STE 315A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425543",
"telephone_number": "630-400-7259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 FARR RD",
"city": "FRUITPORT",
"state": "MI",
"postal_code": "494158779",
"telephone_number": "231-672-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAAN",
"first_name": "ZAHI",
"middle_name": "Y",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-24",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151016228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fruitport, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.
- 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.