Active NPI
Ammar Kanaan, M.D.
- Internal Medicine Physician
- Southgate, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301077121
- Practice address
- 15450 Northline Rd
Suite 101
Southgate, MI 48195-2398 - Phone
- (734) 282-2020
- Fax
- (734) 282-2002
- NPI assigned
- Jun 27, 2006
- Last updated
- Jan 31, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301077121 | MI | Primary |
Addresses
Primary practice location
15450 Northline Rd
Suite 101
Southgate, MI 48195-2398
Mailing address
15450 Northline Rd
Suite 101
Southgate, MI 48195-2398
Phone (734) 282-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15450 Northline Rd
Suite 102
Southgate, MI 48195-2490
Phone (734) 720-7270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Current | Accepting new patients | |
| Lamis,Inc. | Internal Medicine | Current | Accepting new patients |
| Henry Ford Wyandotte Hospital | Internal Medicine | Current | Accepting new patients |
| Madison Medical Center | Past | Accepting new patients | |
| Joseph a. George,MD,PC | Past | Accepting new patients | |
| Depot Emergency Physicians | Past | Accepting new patients | |
| Michigan Em-I Medical Services, P.C. | Past | Accepting new patients | |
| Michigan Em-I Medical Services, P.C. | Past | Accepting new patients | |
| Henry Ford Wyandotte Hospital | Past | Accepting new patients |
Locations
7226 Allen Rd
Allen Park, MI 48101
Phone (313) 383-5530
15450 Northline Rd
Ste 1
Southgate, MI 48195
Phone (248) 996-9152
15450 Northline Rd
Ste 101
Southgate, MI 48195
Phone (734) 225-1315
15450 Northline Rd
Ste 102
Southgate, MI 48195
Phone (734) 720-7270
2070 Biddle Ave
Ste 2
Wyandotte, MI 48192
Phone (734) 284-7482
2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000
Interoperability endpoints
- akanaan13262@direct.hfhs.org
Organizations & group practices 10
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.
-
- Internal Medicine Physician
- Southgate, MI
- NPI 1487862140
-
- Clinical Social Worker
- Wyandotte, MI
- NPI 1093940272
-
dba Henry Ford Health Center-Brownstown Pharmacy
- Community/Retail Pharmacy
- Brownstown TWP, MI
- NPI 1356356984
-
- Family Medicine Physician
- Allen Park, MI
- NPI 1841564788
Internal Medicine
-
- Emergency Medicine Physician
- Sturgis, MI
- NPI 1427096361
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
-
- Primary Care Clinic/Center
- Lincoln Park, MI
- NPI 1285800094
-
dba Sterling Medical Center
- Multi-Specialty Clinic/Center
- Sterling HTS, MI
- NPI 1033115548
-
- Physician Assistant
- Sturgis, MI
- NPI 1427096684
-
- Emergency Medicine Physician
- Dowagiac, MI
- NPI 1588603484
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
dba Henry Ford Health Center Brownstown
- Ambulatory Surgical Clinic/Center
- Wyandotte, MI
- NPI 1093901035
Hospital
-
- General Acute Care Hospital
- Wyandotte, MI
- NPI 1992725352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1881621688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15450 NORTHLINE RD",
"address_2": "SUITE 101",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952398",
"telephone_number": "734-282-2020",
"fax_number": "734-282-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15450 NORTHLINE RD",
"address_2": "SUITE 101",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481952398",
"telephone_number": "734-282-2020",
"fax_number": "734-282-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANAAN",
"first_name": "AMMAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301077121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.