Organization Active NPI

Kahana Oculoplastic Surgery PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Livonia, MI
National Provider Identifier
1700545779
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
KAHANA OCULOPLASTIC SURGERY PLLC
Practice address
39000 7 Mile Rd Ste 2400
Livonia, MI 48152-1006
Phone
(248) 800-1177
Fax
(248) 800-1178
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Dr. Alon Kahana, M.D., PH.D.NPI 1124094651
Title
Attending Surgeon
Phone
(248) 800-1177

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary

Addresses

Primary practice location

39000 7 Mile Rd Ste 2400
Livonia, MI 48152-1006

Mailing address

39000 7 Mile Rd Ste 2400
Livonia, MI 48152-1006
Phone (248) 800-1177

Other practice location 1

2350 E Stadium Blvd Ste 10
Ann Arbor, MI 48104-4889
Phone (248) 800-1177

Other names 1

  • Kahana Oculoplastic and Orbital Surgery Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220119000810 MI Part B Supplier - Clinic/Group Practice 9133511454 Receives reassigned benefits from 2 practitioners
Practice locations: Ann Arbor, MI; Livonia, MI

National Provider Directory

National Provider Directory

Locations

39000 7 Mile Rd
Ste 2400
Livonia, MI 48152
Phone (248) 800-1177

25500 Meadowbrook Rd
Ste 10
Novi, MI 48375

Practitioners & affiliated clinicians

Practitioners 4

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": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1700545779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 7 MILE RD STE 2400",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521006",
            "telephone_number": "248-800-1177",
            "fax_number": "248-800-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 7 MILE RD STE 2400",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521006",
            "telephone_number": "248-800-1177",
            "fax_number": "248-800-1178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 E Stadium Blvd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481044889",
            "country_code": "US",
            "telephone_number": "248-800-1177",
            "fax_number": "248-800-1178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAHANA OCULOPLASTIC SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "KAHANA",
        "authorized_official_first_name": "ALON",
        "authorized_official_title_or_position": "ATTENDING SURGEON",
        "authorized_official_telephone_number": "248-800-1177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kahana Oculoplastic and Orbital Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.