NPIMap

Individual provider Active NPI

Nani Kanen

  • Internal Medicine Physician
  • Burlingame, CA
National Provider Identifier
1548358435
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A77565 Issued in CA
Practice address
1838 El Camino Real
Suite 100
Burlingame, CA 94010-3126
Phone
(650) 697-0361
Fax
(650) 697-8752
NPI assigned
Oct 10, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 A77565 CA Primary

Addresses

Primary practice location

1838 El Camino Real
Suite 100
Burlingame, CA 94010-3126

Mailing address

1838 El Camino Real
Suite 100
Burlingame, CA 94010-3126
Phone (650) 697-0361

Other identifiers 2

IdentifierTypeStateIssuer
00A775650MedicaidCA
A77565OtherCASTATE LICENSE NUMBER

Other names 1

  • Dr. Nani Kanen Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080623000521 CA Practitioner - Internal Medicine 5698846400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1838 El Camino Real
Suite 100
Burlingame, CA 94010-3105
Phone (650) 697-0361

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.79 of 100Reported as group
Quality
89.48
Promoting interoperability
100
Improvement activities
40
Cost
69.82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A77565CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lemi Medical Center Professional Corporation Internal Medicine CurrentSince Mar 1, 2008 Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Palo Alto Medical Foundation Past Accepting new patients
The Parkway Hospital Past Accepting new patients
Long Island Jewish Medical Center Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients

Locations

1838 El Camino Real
Ste 100
Burlingame, CA 94010
Phone (415) 287-0859

1838 El Camino Real
Ste 102
Burlingame, CA 94010
Phone (650) 697-0361

1838 El Camino Real
Ste 180
Burlingame, CA 94010

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nkanen45969@hisp.ehr.sutterhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548358435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "650-697-0361",
            "fax_number": "650-697-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL",
            "address_2": "SUITE 100",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "650-697-0361",
            "fax_number": "650-697-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEN",
        "first_name": "NANI",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A775650",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "A77565",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANI",
            "last_name": "KANEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.