Individual provider Active NPI

Samer Kanaan, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Riverside, CA
National Provider Identifier
1689864522
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A87174 Issued in CA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20081104000063 CA Practitioner - Thoracic Surgery 0143318071 Reassigns benefits to 3 organizations
I20221007001898 WI Practitioner - Vascular Surgery 0143318071 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Cal Med Physicians and Surgeons IncGroup PAC ID 4385556687, 34 clinicians
El-Bershawi Medical CorpGroup PAC ID 9032298492, 44 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

Merit-based Incentive Payment System (MIPS)

Final score
73.59 of 100Reported as group
Quality
52.13
Improvement activities
40
Cost
66.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87174CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 6, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Oct 6, 2022 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 6, 2022 Accepting new patients
Cal Med Physicians and Surgeons, Inc. Vascular Surgery CurrentSince Mar 20, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 6, 2022 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Oct 6, 2022 Accepting new patients
El-Bershawi Medical Corp CurrentSince Jan 1, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 6, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince Oct 6, 2022 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Oct 6, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Oct 6, 2022 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 6, 2022 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

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: 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.

View all 35

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.