DR. KAYNAN DOCTOR (M.D.) – Emergency Medicine Physician, NPI 1033376660

DR. KAYNAN DOCTOR (M.D.) is a healthcare provider. based in Rockland, Delaware. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. C10011311 (DE). The NPI Number for DR. KAYNAN DOCTOR (M.D.) is 1033376660

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAYNAN DOCTOR (M.D.)
NPI
1033376660
Phone
(302) 651-4100
Address
PO BOX 191
Enumeration Date
21 May 2008
Last Update Date
26 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026514200
Graduation Year
2004 (22 years ago)
PAC ID
1658549431
Group Practice PAC ID
9537072483
Professional Enrollment ID
I20151103001513
Address ID
DE198033607WI1600XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

236 EMERGENCY MEDICINE in DE

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Provider Addresses for DR. KAYNAN DOCTOR (M.D.)

  • 191, Mill Street, Rockport, Knox County, Maine, 04856, United States

    ROCKLAND, DE 197320191

    Phone: (302) 651-4100

    Fax: (302) 651-4945

    Type: Mailing

  • Nemours/Alfred I. duPont Hospital for Children, 1600, Rockland Road, Wilmington, New Castle County, Delaware, 19803, United States

    WILMINGTON, DE 198033607

    Phone: (302) 651-4100

    Fax: (302) 651-4945

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-11-03

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
I20151103001513IEmergency MedicineDETBD

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 19732)

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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: 9537072483View full group profile
NameSpecialtyState
-AR
Infectious Disease, Pediatric MedicineDE
Diagnostic RadiologyDE
Emergency Medicine, Pediatric MedicineDE
Pediatric MedicineDE
A N E S T H E S I O L O G YPA
Pediatric MedicinePA
A N E S T H E S I O L O G YGA
-DE
Critical Care (Intensivists)DE

Reviews

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Frequently asked questions

How do payers reference DR. KAYNAN DOCTOR (M.D.)?
For DR. KAYNAN DOCTOR (M.D.), use NPI 1033376660 as the unique 10-digit identifier.
Would DR. KAYNAN DOCTOR (M.D.) appear as active to a payer?
You can treat DR. KAYNAN DOCTOR (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. KAYNAN DOCTOR (M.D.)?
DR. KAYNAN DOCTOR (M.D.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Delaware is DR. KAYNAN DOCTOR (M.D.) registered?
Use Rockland, Delaware as the headline location for DR. KAYNAN DOCTOR (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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