Individual provider Active NPI

Alissa Kanaan, M.D.

  • Otolaryngology Physician
  • Miami, FL
National Provider Identifier
1467884668
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME168035 Issued in FL
Practice address
8940 N Kendall Dr Ste 504E
Miami, FL 33176-2150
Phone
(305) 558-3724
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD448698 PA
Otolaryngology Physician 207Y00000X ME168035 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr Ste 504E
Miami, FL 33176-2150

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Other practice location 1

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL2 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
I20140820001959 AR Practitioner - Otolaryngology 3577706852 Reassigns benefits to 3 organizations
I20240607000363 FL Practitioner - Otolaryngology 3577706852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

8940 N Kendall Dr
Suite 504E
Miami, FL 33176-2150
Phone (305) 595-6200

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008
  • West Kendall Baptist Hospital Hospital, Miami, FL, CCN 100314

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Otolaryngology CurrentSince Jul 24, 2014 Accepting new patients
Arkansas Childrens Hospital CurrentSince Jul 24, 2014 Accepting new patients
Arkansas Children'S Hospital CurrentSince Jul 24, 2014 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince Jul 1, 2024 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jul 24, 2014 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology PastSince Jan 17, 2022 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology PastSince Jan 1, 2022 Accepting new patients

Locations

1 Childrens Way
Ste 653
Little Rock, AR 72202

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1 Childrens Way
Little Rock, AR 72202
Phone (501) 364-1874

1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006

9915 NW 41st St
Ste 220
Doral, FL 33178
Phone (305) 477-1133

15955 SW 96th St
Ste 303
Miami, FL 33196
Phone (305) 380-6773

8940 N Kendall Dr
Ste 504E
Miami, FL 33176
Phone (305) 595-6200

21150 Biscayne Blvd
Ste 102
Miami, FL 33180
Phone (305) 933-3395

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

18501 Pines Blvd
Ste 210
Pembroke Pines, FL 33029
Phone (954) 237-2505

Organizations & group practices 8

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 3

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1467884668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 504E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762150",
            "telephone_number": "305-558-3724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-686-8029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANAAN",
        "first_name": "ALISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD448698",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME168035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.