Organization Active NPI

John C Kagan MD LLC

  • Orthopaedic Surgery Physician
  • Humacao, PR
National Provider Identifier
1689495764
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
JOHN C KAGAN MD LLC
Practice address
Bo Rio Abajo Carretera 3
KM.HM 78.1
Humacao, PR 00791
Phone
(239) 229-8830
NPI assigned
Oct 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
John Curry Kagan, MDNPI 1437110160
Title
President
Phone
(239) 229-8830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

Bo Rio Abajo Carretera 3
KM.HM 78.1
Humacao, PR 00791

Mailing address

295 Palmas Inn Way Ste 6
Humacao, PR 00791-6129
Phone (239) 229-8830

Other names 1

  • JOHN C KAGAN SOLE MBR Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250213003887 PR Part B Supplier - Clinic/Group Practice 6204360753 Receives reassigned benefits from 1 practitioner
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Locations

295 Palmas Inn Way
Ste 6
Humacao, PR 00791

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1689495764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 PALMAS INN WAY STE 6",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007916129",
            "telephone_number": "239-229-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO RIO ABAJO CARRETERA 3",
            "address_2": "KM.HM 78.1",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "239-229-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C KAGAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-21",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CURRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-229-8830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOHN C KAGAN SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.