SAMUEL KANG-NIEN DAWN (MD) – Diagnostic Radiology Physician, NPI 1295797322

SAMUEL KANG-NIEN DAWN (MD) is a healthcare provider. based in Marianna, Florida. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. ME172174 (FL). The NPI Number for SAMUEL KANG-NIEN DAWN (MD) is 1295797322

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL KANG-NIEN DAWN (MD)
NPI
1295797322
Phone
(850) 526-2200
Address
4250 Hospital Dr
Enumeration Date
4 April 2006
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3345143848
Graduation Year
1995 (31 years ago)
PAC ID
1456301126
Group Practice PAC ID
8426075508
Professional Enrollment ID
I20250808003191
Address ID
AL360921625WE500XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

3,168 DIAGNOSTIC RADIOLOGY in FL

Provider Addresses for SAMUEL KANG-NIEN DAWN (MD)

  • 4250 Hospital Dr

    Marianna, FL 324461917

    Phone: (850) 526-2200

    Fax: (850) 718-2844

    Type: Location

  • 1602 AVENUE Q

    LUBBOCK, TX 794014732

    Phone: (650) 766-0887

    Fax: (650) 249-5055

    Type: Mailing

  • 2500 GRANT RD

    MOUNTAIN VIEW, CA 940404302

    Phone: (650) 940-7044

    Type: Mailing

  • Santa Clara Valley Medical Center, 751, South Bascom Avenue, Buena Vista, San Jose, Santa Clara County, California, 95128, United States

    SAN JOSE, CA 951282604

    Phone: (408) 885-5000

    Type: Mailing

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: 2025-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20050131000384IDiagnostic RadiologyCATBD
I20240401000492IDiagnostic RadiologyTXTBD
I20240522001626IDiagnostic RadiologyAZTBD
I20241127001309IDiagnostic RadiologyNCTBD
I20250321003492IDiagnostic RadiologyFLTBD
I20250808003191IDiagnostic RadiologyALTBD
I20251020000605IInterventional RadiologyNMTBD
I20251126000547IDiagnostic RadiologyNDTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view235216$0
71275Ct scan of blood vessels of chest with contrast5858$0
74177Ct scan of abdomen and pelvis with contrast5050$0
71046X-ray of chest, 2 views4542$0
74018X-ray of abdomen, 1 view4437$0
View full utilization report →

Insurance plans in this area (ZIP 32446)

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Provider's Procedures

SAMUEL KANG-NIEN DAWN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYCA71250CT scan chest203191
DIAGNOSTIC RADIOLOGYCA73110X-ray of wrist, minimum of 3 views4137
DIAGNOSTIC RADIOLOGYCA73140X-ray of fingers, minimum of 2 views2321
DIAGNOSTIC RADIOLOGYCA73562X-ray of knee, 3 views7264
DIAGNOSTIC RADIOLOGYCA78815Nuclear medicine study with CT imaging skull base to mid-thigh128109
DIAGNOSTIC RADIOLOGYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers7674

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: 8426075508View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeAL
Diagnostic RadiologyFL
Internal MedicineAL
Diagnostic RadiologyND
Family PracticeAL
Nurse PractitionerAL
Diagnostic RadiologyFL
General Practice, Emergency MedicineTX
Diagnostic RadiologyTN
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What federal number belongs to SAMUEL KANG-NIEN DAWN (MD)?
The federal identifier for SAMUEL KANG-NIEN DAWN (MD) is NPI 1295797322.
Does this profile mean SAMUEL KANG-NIEN DAWN (MD) is currently active?
Yes — SAMUEL KANG-NIEN DAWN (MD) appears active in the national provider directory.
What kind of provider is SAMUEL KANG-NIEN DAWN (MD)?
The page reflects Diagnostic Radiology Physician for SAMUEL KANG-NIEN DAWN (MD). Clinical services aligned with this taxonomy classification.
Where does public data place SAMUEL KANG-NIEN DAWN (MD)?
The snapshot lists Marianna, Florida for SAMUEL KANG-NIEN DAWN (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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