Nicholas C Kanaan, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

76007 Issued in AZ

Practice address

3700 W State Route 89a
Sedona, AZ 86336-4937

Phone

(928) 204-4100

NPI assigned

Oct 1, 2009

Last updated

Jan 23, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in UT, CA, WY, TX4 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 4

Specialty

Emergency Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Medicine Services of TX, PLLCGroup PAC ID 3375909351, 374 clinicians

Southern Humboldt Community Healthcare DistrictGroup PAC ID 8820982879, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jerold Phelps Community Hospital Hospital, Garberville, CA, CCN 051309
• HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emergency Medicine Services of TX, PLLC

  • Emergency Medicine Physician
  • San Antonio, TX
  • NPI 1245938729
  Medicare reassignment Care Compare group NPD
• Southern Humboldt Community Healthcare District

  dba Jerold Phelps Community Hospital

  • Critical Access Hospital
  • Garberville, CA
  • NPI 1003819376
  Medicare reassignment Care Compare group NPD
• Brewster Emergency Medicine Associates PA

  • Emergency Medicine Physician
  • Alpine, TX
  • NPI 1538218771
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610
  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  dba Northern Navajo Medical Center

  • General Acute Care Hospital
  • Shiprock, NM
  • NPI 1780639971

  TX

  Medicare reassignment NPD
• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199
  Medicare reassignment NPD
• Emergency Services of Texas PA

  • Emergency Medicine Physician
  • Orange, TX
  • NPI 1174932131
  Medicare reassignment NPD
• Physician Group of Utah Inc

  • Specialist
  • South Jordan, UT
  • NPI 1477676930
  Medicare reassignment NPD
• University of Utah Adult Services

  dba MEMORIAL HOSPITAL SWEETWATER-Vascular Lab

  • Vascular Surgery Physician
  • Rock Springs, WY
  • NPI 1104204361
  Medicare reassignment NPD
• University of Utah Adult Services

  • General Practice Physician
  • Salt Lake City, UT
  • NPI 1114321981
  Medicare reassignment NPD
• DHHS, PHS, Naihs, Shiprock Hospital

  • General Acute Care Hospital
  • Teec Nos Pos, AZ
  • NPI 1477615789
  NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chca Pearland, L.P.

  dba HCA Houston Healthcare Pearland

  • General Acute Care Hospital
  • Pearland, TX
  • NPI 1609275585
  Care Compare affiliation
• Southern Humboldt Community Healthcare District

  dba Jerold Phelps Community Hospital

  • Critical Access Hospital
  • Garberville, CA
  • NPI 1003819376
  Care Compare affiliation

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1831423235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 W 200 S APT 404",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841014212",
            "telephone_number": "650-723-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W STATE ROUTE 89A",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863364937",
            "telephone_number": "928-204-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 N 400 E",
            "address_2": "Department of Emergency Medicine: ATTN Nicholas Kanaan",
            "address_purpose": "LOCATION",
            "city": "Logan",
            "state": "UT",
            "postal_code": "843416000",
            "country_code": "US",
            "telephone_number": "650-723-9215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANAAN",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "82483301205",
            "primary": false
        },
        {
            "code": "207PE0005X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "UT",
            "license": "8248330-1205",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "76007",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A114237",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "14389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nkanaan429133@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "University of Utah",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janalene C McRae PLLC
• Janne M Lynch DDS PLLC
• Charla Johansen, NURSE PRACTITIONER
• Steven M. Johnson, M.D.
• Kachina Point Rehabilitation Hospital LLC
• Linda S. Kaplan, APRN
• Kathy J O'Connor MD PA
• Ramandeep Kaur
• Diane Kazer
• Kristy Denise Kazian, MS, CCC-SLP

• Emergency Medicine Physician in Sedona, AZ
• Providers in Sedona, AZ by specialty
• Emergency Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.

Verify at the official NPI Registry.