Active NPI
Kanan H Hudhud, MD
- Hematology & Oncology Physician
- Eden, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- D41866
- Practice address
- 516 S Van Buren Rd
Eden, NC 27288-5019 - Phone
- (336) 623-9713
- Fax
- (336) 623-1031
- NPI assigned
- Aug 3, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 01097013A | IN | |
| Hematology & Oncology Physician | 207RH0003X | D41866 | MD | Primary |
| Medical Oncology Physician | 207RX0202X | 20263 | WV |
Addresses
Primary practice location
516 S Van Buren Rd
Eden, NC 27288-5019
Mailing address
46B Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4300
Phone (301) 695-6777
Other practice location 1
200 Hospital Dr
Spencer, WV 25276-1050
Phone (304) 927-4444
Other practice location 2
46B Thomas Johnson Dr
Suite 200
Frederick, MD 21702-4300
Phone (301) 695-6777
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01960001 | Other | MD | CAREFIRST FEDERAL |
| 52567805 | Other | MD | CAREFIRST |
| 4320060 | Other | MD | AETNA |
| 0081294000 | Medicaid | WV | |
| 522074387 | Other | MD | TAX ID |
| 75884400 | Medicaid | MD | |
| 3810004318 | Other | WV | CLIA NUMBER |
| 3601024 | Other | MD | UNITED HEALTHCARE |
| 452203 | Other | MD | MAMSI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | khudhud1153521@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, GA, NC, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231108004063 | WV | Practitioner - Hematology/Oncology | 3678465135 | Reassigns benefits to 4 organizations |
| I20231213000343 | GA | Practitioner - Hematology/Oncology | 3678465135 | Reassigns benefits to 2 organizations |
| I20240809001958 | NC | Practitioner - Medical Oncology | 3678465135 | Reassigns benefits to 1 organization |
| I20250821000939 | IN | Practitioner - Medical Oncology | 3678465135 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D41866 | MD | MD | Hematology & Oncology Physician |
| 01097013A | IN | MD | Medical Oncology Physician |
| 20263 | WV | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical Center Inc | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Unc Physicians Network LLC | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Charleston Area Medical Center, Inc. | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Camden-Clark Physician Corporation | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Wheeling Hospital Inc | Hematology & Oncology | Current | Accepting new patients |
| Charleston Area Medical Center Inc | Current | Accepting new patients | |
| The Medical Center Inc | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Hospital Development Co | Current | Accepting new patients | |
| Tift Regional Health System Inc. | Current | Accepting new patients | |
| Tift Regional Health System Inc | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Camden Clark Memorial Hospital Corporation | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Wheeling Hospital Inc | Past | Accepting new patients | |
| Tift Regional Health System Inc | Medical Oncology | Past | Accepting new patients |
| Hospital Development Co | Past | Accepting new patients |
Locations
1831 5th Ave
Columbus, GA 31904
Phone (706) 320-8700
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188
901 18th St E
Tifton, GA 31794
Phone (229) 353-6208
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
8955 W 400 N
Michigan City, IN 46360
Phone (219) 861-5800
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123
516 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-6862
5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110
275 Dry Hill Rd
Beckley, WV 25801
Phone (304) 253-6060
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405
705 Garfield Ave
Ste 220
Parkersburg, WV 26101
Phone (304) 424-2276
200 Hospital Dr
Spencer, WV 25276
Phone (304) 927-4444
40 Medical Park
Ste 300
Wheeling, WV 26003
Phone (304) 243-6442
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
Interoperability endpoints
- kanan.hudhud@mdonc.ikm.direct-ci.com
Organizations & group practices 26
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.
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
Hematology & Oncology, WV
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
-
- Podiatrist
- Munster, IN
- NPI 1093188229
-
- Nursing Facility/Intermediate Care Facility
- Wheeling, WV
- NPI 1114913449
-
- Pharmacy
- Bellaire, OH
- NPI 1164490041
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Barnesville, OH
- NPI 1235135450
Hospital
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1508160268
Hospital
-
- General Acute Care Hospital
- Parkersburg, WV
- NPI 1699704254
Hospital
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wheeling Hospital IncCamden-Clark Physician CorporationFranciscan Physician Network
Practice addresses (Care Compare)
40 Medical Park
Suite 300
Wheeling, WV 26003-6392
Phone (304) 243-6442
705 Garfield Ave
Suite 220
Parkersburg, WV 26101-5444
Phone (304) 424-2606
8955 W 400
Michigan City, IN 46360-9330
Phone (219) 861-5800
Hospital & facility affiliations
- Wheeling Hospital, Inc
- Franciscan Health Michigan City
- Camden Clark Medical Center
- Wetzel County Hospital
- Barnesville Hospital Association, Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1528069226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46B THOMAS JOHNSON DR",
"address_2": "SUITE 200",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217024300",
"telephone_number": "301-695-6777",
"fax_number": "601-695-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "516 S VAN BUREN RD",
"city": "EDEN",
"state": "NC",
"postal_code": "272885019",
"telephone_number": "336-623-9713",
"fax_number": "336-623-1031"
}
],
"practiceLocations": [
{
"address_1": "200 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Spencer",
"state": "WV",
"postal_code": "252761050",
"country_code": "US",
"telephone_number": "304-927-4444",
"fax_number": "304-927-6837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "46B Thomas Johnson Dr",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Frederick",
"state": "MD",
"postal_code": "217024300",
"country_code": "US",
"telephone_number": "301-695-6777",
"fax_number": "601-695-4852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUDHUD",
"first_name": "KANAN",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "IN",
"license": "01097013A",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "MD",
"license": "D41866",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WV",
"license": "20263",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST FEDERAL",
"identifier": "01960001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "52567805",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4320060",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0081294000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "522074387",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75884400",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NUMBER",
"identifier": "3810004318",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3601024",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "452203",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "khudhud1153521@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "516 S Van Buren Rd",
"city": "Eden",
"state": "NC",
"country_code": "US",
"postal_code": "272885019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.