Active NPI
Samer Kanaan, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A87174
- Practice address
- 4234 Riverwalk Pkwy Ste 120
Riverside, CA 92505-3304 - Phone
- (951) 781-3672
- Fax
- (951) 781-0365
- NPI assigned
- Jul 26, 2007
- Last updated
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 81611 | WI | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 81611 | WI | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A87174 | CA | Primary |
Addresses
Primary practice location
4234 Riverwalk Pkwy Ste 120
Riverside, CA 92505-3304
Mailing address
4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone (951) 781-3672
Other practice location 1
4 Hughes Ste 100
Irvine, CA 92618-2043
Phone (949) 679-6874
Other practice location 2
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | samer.kanaan.p1@direct.pacificpulm.nextgenshare.com | ||
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- MCHS Hospitals Inc
Practice addresses (Care Compare)
1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3353
4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-3312
Phone (951) 781-3672
Hospital & facility affiliations
- Marshfield Medical Center
- Riverside Community Hospital
- Marshfield Medical Center - Weston
- Memorialcare Saddleback Medical Center
- Temecula Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.58 of 100
- Quality
- 55.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.59 of 100
- Quality
- 52.13
- Improvement activities
- 40
- Cost
- 66.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A87174 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Cal Med Physicians and Surgeons, Inc. | Vascular Surgery | Current | Accepting new patients |
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals, Inc. | Current | Accepting new patients | |
| El-Bershawi Medical Corp | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Mission Hospital Regional Medical Center | Past | Accepting new patients | |
| Mission Hospitals, Inc | Past | Accepting new patients | |
| Riverside Healthcare System, L.P. | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| Doctors Hospital of Riverside LLC | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Hoag Memorial Hospital Presbyterian | Past | Accepting new patients | |
| Pacific Professional Surgical Group Inc | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| The McDowell Hospital Inc | Orthopaedic Surgery | Past | Accepting new patients |
| Memorial Hospital Inc | Past | Accepting new patients | |
| Children's Hospital at Mission | Past | Accepting new patients | |
| Mission Hospital Inc | Past | Accepting new patients | |
| MCHS Hospitals Inc | Past | Accepting new patients | |
| St Joseph Hospital of Orange | Past | Accepting new patients | |
| MCHS Hospitals Inc | Past | Accepting new patients | |
| Hoag Orthopedic Institute LLC | Past | Accepting new patients | |
| Napa Valley Cardiac and Thoracic Surgery, Incorporated | Past | Accepting new patients |
Locations
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
4 Hughes
Irvine, CA 92618
4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874
4234 Riverwalk Pkwy
Ste 120
Riverside, CA 92505
Phone (909) 418-2700
4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- him@marshfieldclinichealthsystem.cernerdirect.com
- samer.kanaan.p1@direct.pacificpulm.nextgenshare.com
Organizations & group practices 35
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.
-
dba Pacific Pulmonary Medical Group
- Critical Care Medicine (Internal Medicine) Physician
- Riverside, CA
- NPI 1386813103
-
dba Marshfield Medical Center - Beaver Dam Professional Services
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
dba MMC - Park Falls Outreach Services
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
dba Marshfield Medical Center - Park Falls
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
dba Marshfield Medical Center - Rice Lake Professional Services
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
dba Marshfield Clinic Florida Teleradiology/Telehealth
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
dba Marshfield Medical Center - Ladysmith
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
-
dba Marshfield Medical Center - Neillsville
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Specialist
- Orange, CA
- NPI 1154336949
-
dba Hillside Unit Pharmacy (DME)
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Community Hospital
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
-
dba Temecula Valley Hospital
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
dba Marshfield Medical Center - Weston
- General Acute Care Hospital
- Weston, WI
- NPI 1902437650
-
dba Marshfield Medical Center
- Rural Acute Care Hospital
- Marshfield, WI
- NPI 1942749387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1689864522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PKWY STE 230",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053312",
"telephone_number": "951-781-3672",
"fax_number": "951-781-0365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234 RIVERWALK PKWY STE 120",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053304",
"telephone_number": "951-781-3672",
"fax_number": "951-781-0365"
}
],
"practiceLocations": [
{
"address_1": "4 Hughes Ste 100",
"address_purpose": "LOCATION",
"city": "Irvine",
"state": "CA",
"postal_code": "926182043",
"country_code": "US",
"telephone_number": "949-679-6874",
"fax_number": "949-242-2772",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Oak Ave",
"address_purpose": "LOCATION",
"city": "Marshfield",
"state": "WI",
"postal_code": "544495703",
"country_code": "US",
"telephone_number": "715-387-5511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANAAN",
"first_name": "SAMER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WI",
"license": "81611",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WI",
"license": "81611",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A87174",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "samer.kanaan.p1@direct.pacificpulm.nextgenshare.com",
"affiliation": "N",
"address_1": "4234 Riverwalk Pkwy Ste 230",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925053312",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "1000 N Oak Ave",
"city": "Marshfield",
"state": "WI",
"country_code": "US",
"postal_code": "544495703",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.