Individual provider Active NPI

Kanan H Hudhud, MD

  • Hematology & Oncology Physician
  • Eden, NC
National Provider Identifier
1528069226
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D41866 Issued in MD
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

Updated by the provider on Aug 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01960001OtherMDCAREFIRST FEDERAL
52567805OtherMDCAREFIRST
4320060OtherMDAETNA
0081294000MedicaidWV
522074387OtherMDTAX ID
75884400MedicaidMD
3810004318OtherWVCLIA NUMBER
3601024OtherMDUNITED HEALTHCARE
452203OtherMDMAMSI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khudhud1153521@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, GA, NC, IN4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20231108004063 WV Practitioner - Hematology/OncologyPractitioner - Medical Oncology 3678465135 Reassigns benefits to 4 organizations
I20231213000343 GA Practitioner - Hematology/Oncology 3678465135 Reassigns benefits to 2 organizations
I20240809001958 NC Practitioner - Medical OncologyPractitioner - Internal Medicine 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

LicenseStateTypeSpecialty
D41866MDMDHematology & Oncology Physician
01097013AINMDMedical Oncology Physician
20263WVMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical Center Inc CurrentSince Aug 27, 2025 Accepting new patients
Unc Physicians Network LLC CurrentSince Jul 22, 2024 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Tift Regional Health System Inc CurrentSince Jan 15, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Hospital Development Co CurrentSince Nov 1, 2023 Accepting new patients
Hospital Development Co CurrentSince Nov 1, 2023 Accepting new patients
Camden-Clark Physician Corporation CurrentSince Oct 15, 2023 Accepting new patients
Hospital Development Co Current Accepting new patients
Wheeling Hospital Inc Hematology & Oncology CurrentSince May 1, 2025 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Mar 3, 2025 Accepting new patients
The Medical Center Inc CurrentSince Aug 27, 2025 Accepting new patients
Franciscan Physician Network CurrentSince Aug 1, 2025 Accepting new patients
Hospital Development Co Current Accepting new patients
Tift Regional Health System Inc. CurrentSince Jan 15, 2024 Accepting new patients
Tift Regional Health System Inc Current Accepting new patients
Franciscan Physician Network CurrentSince Aug 1, 2025 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

  • Direct secure messaging: 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.

View all 26

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 Inc 433 clinicians
Camden-Clark Physician Corporation 345 clinicians
Franciscan Physician Network 1,152 clinicians

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 Hospital, Wheeling, WV, CCN 510050
  • Franciscan Health Michigan City Hospital, Michigan City, IN, CCN 150015
  • Camden Clark Medical Center Hospital, Parkersburg, WV, CCN 510058
  • Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321

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

Verify at the official NPI Registry.