KATHLEEN M KAN (MD) – Pediatric Urology Physician, NPI 1275890923

KATHLEEN M KAN (MD) is a healthcare provider. based in Stanford, California. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. A149133 (CA). The NPI Number for KATHLEEN M KAN (MD) is 1275890923

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
KATHLEEN M KAN (MD)
NPI
1275890923
Phone
(650) 723-4000
Address
300 PASTEUR DR
Enumeration Date
19 April 2012
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6504987200
Graduation Year
2012 (14 years ago)
PAC ID
2668702044
Group Practice PAC ID
0840298543
Professional Enrollment ID
I20190927000611
Address ID
CA943041601PA725XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,307 UROLOGY in CA

Provider Addresses for KATHLEEN M KAN (MD)

  • 300 PASTEUR DR

    STANFORD, CA 943052200

    Phone: (650) 723-4000

    Type: Mailing

  • 725 WELCH RD

    PALO ALTO, CA 943041601

    Phone: (650) 497-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-05-19 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190927000611IUrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840298543View full group profile

Reviews

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Frequently asked questions

Is KATHLEEN M KAN (MD) listed with a National Provider Identifier?
Yes — KATHLEEN M KAN (MD) has NPI 1275890923 on file in the registry.
Active or inactive — what applies to KATHLEEN M KAN (MD)?
You should see KATHLEEN M KAN (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to KATHLEEN M KAN (MD)?
KATHLEEN M KAN (MD)'s specialty line reads Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
Is KATHLEEN M KAN (MD) associated with Stanford?
Public fields place KATHLEEN M KAN (MD) around Stanford, California. Always confirm the exact site before visiting.
Does KATHLEEN M KAN (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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