Individual provider Active NPI

Hazem Bassam Kanaan, D.O.

  • Obstetrics & Gynecology Physician
  • McAllen, TX
National Provider Identifier
1588807275
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
P6193 Issued in TX
Practice address
800 E Dove Ave Ste H
McAllen, TX 78504-2263
Phone
(956) 843-0173
Fax
(956) 843-0176
NPI assigned
Apr 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X P6193 TX Primary

Addresses

Primary practice location

800 E Dove Ave Ste H
McAllen, TX 78504-2263

Mailing address

800 E Dove Ave Ste H
McAllen, TX 78504-2263
Phone (956) 843-0173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20131113001880 TX Practitioner - Obstetrics/Gynecology 0941436398 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
West Virginia School of Osteopathic Medicine, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 E Dove Ave
Suite H
McAllen, TX 78504-2263
Phone (956) 843-0173

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
All Women Medical Clinic, P.a. Obstetrics & Gynecology CurrentSince Feb 29, 2016 Accepting new patients
Southside Women'S Center, P.a. CurrentSince Aug 19, 2013 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Dec 23, 2015 Accepting new patients
Doctors Hospital at Renaissance, LTD Past Accepting new patients
McAllen Hospitals L P Past Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

5920 Saratoga Blvd
Ste 570
Corpus Christi, TX 78414
Phone (361) 985-8100

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

800 E Dove Ave
Ste L
McAllen, TX 78504
Phone (956) 687-3232

800 E Dove Ave
Ste H
McAllen, TX 78504
Phone (956) 843-0173

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3fe59471-3589-4f65-b447-b92822bfc057/

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 2

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": "1239494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1588807275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E DOVE AVE STE H",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042263",
            "telephone_number": "956-843-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E DOVE AVE STE H",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042263",
            "telephone_number": "956-843-0173",
            "fax_number": "956-843-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAAN",
        "first_name": "HAZEM",
        "middle_name": "BASSAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-12",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "P6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.