NPIMap

Individual provider Active NPI

Zayan Anis Kanjo, MD

  • Internal Medicine Physician
  • Oak Harbor, WA
National Provider Identifier
1407830441
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00031262 Issued in WA
Practice address
231 SE Barrington Drive
Suite 209
Oak Harbor, WA 98277
Phone
(360) 679-3161
Fax
(360) 679-1741
NPI assigned
Dec 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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 MD00031262 WA Primary

Addresses

Primary practice location

231 SE Barrington Drive
Suite 209
Oak Harbor, WA 98277

Mailing address

231 SE Barrington Drive
Suite 209
Oak Harbor, WA 98277
Phone (360) 679-3161

Other identifiers 3

IdentifierTypeStateIssuer
110130199OtherWARAILROAD MEDICARE
52525OtherWABLUE CROSS/SHIELD
S57923OtherBLUE CROSS/SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100719000131 WA Practitioner - Internal Medicine 4486759719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whidbey Medical Clinic PLLCGroup PAC ID 5890683031, 3 clinicians

Practice addresses (Care Compare)

231 SE Barrington Dr
Suite 209
Oak Harbor, WA 98277-3200
Phone (360) 679-3161

Hospital & facility affiliations

  • Signature Healthcare at Home Home health agency, Burlington, WA, CCN 507100
  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Island Hospital Hospital, Anacortes, WA, CCN 500007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: clinical@whidbeymedica.directbygreenway.com

Organizations & group practices 1

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 9

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": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298246400000",
    "number": "1407830441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DRIVE",
            "address_2": "SUITE 209",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-679-3161",
            "fax_number": "360-679-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SE BARRINGTON DRIVE",
            "address_2": "SUITE 209",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "98277",
            "telephone_number": "360-679-3161",
            "fax_number": "360-679-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANJO",
        "first_name": "ZAYAN",
        "middle_name": "ANIS",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2011-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00031262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110130199",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "52525",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD",
            "identifier": "S57923",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

Verify at the official NPI Registry.