Individual provider Active NPI

Nathaniel A Kaan, M.D.

  • Surgery Physician
  • Cheyenne, WY
National Provider Identifier
1508210709
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
15275A Issued in WY
Practice address
4003 Rawlins St
Cheyenne, WY 82001-1800
Phone
(307) 323-2679
Fax
(307) 323-2740
NPI assigned
Apr 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 15275A WY Primary

Addresses

Primary practice location

4003 Rawlins St
Cheyenne, WY 82001-1800

Mailing address

4003 Rawlins St
Cheyenne, WY 82001-1800
Phone (307) 323-2679

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nkaan55172@direct.crmcwy.org Direct Memorial Hospital of Laramie County

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, NE2 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
I20220913004219 WY Practitioner - General Surgery 2264725266 Reassigns benefits to 1 organization
I20260615001585 NE Practitioner - General Surgery 2264725266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Washington School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain West Surgical Specialists LLCGroup PAC ID 3870030471, 3 clinicians

Practice addresses (Care Compare)

4003 Rawlins St
Cheyenne, WY 82001-1800
Phone (307) 323-2679

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)13
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15275AWYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Creek Family Medicine, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Mountain West Surgical Specialists LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

4003 Rawlins St
Cheyenne, WY 82001
Phone (307) 323-2679

1277 N 15th St
#M
Laramie, WY 82072

Interoperability endpoints

  • FHIR API: https://soap.crmcwy.org/fhirproxy/api/FHIR/R4
  • Direct secure messaging: nkaan55172@direct.crmcwy.org

Organizations & group practices 3

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 1

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": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1508210709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011800",
            "telephone_number": "307-323-2679",
            "fax_number": "307-323-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4003 RAWLINS ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820011800",
            "telephone_number": "307-323-2679",
            "fax_number": "307-323-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAN",
        "first_name": "NATHANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WY",
            "license": "15275A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkaan55172@direct.crmcwy.org",
            "affiliation": "Y",
            "endpointDescription": "CRMC Direct Address",
            "affiliationName": "Memorial Hospital of Laramie County",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5201 Yellowstone Rd",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820094741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.