DR. ROLY CREEKMORE KANARD (MD) – Internal Medicine Physician, NPI 1235266891

DR. ROLY CREEKMORE KANARD (MD) is a healthcare provider. based in Belfast, Maine. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 42111 (CO). The NPI Number for DR. ROLY CREEKMORE KANARD (MD) is 1235266891

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROLY CREEKMORE KANARD (MD)
NPI
1235266891
Phone
(207) 661-8109
Address
118 Northport Ave
Enumeration Date
28 February 2007
Last Update Date
3 January 2020

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
9706251510
Graduation Year
2002 (24 years ago)
PAC ID
5799874962
Group Practice PAC ID
7113837469
Professional Enrollment ID
I20080505000223
Address ID
CO816508510RI501XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

916 INTERNAL MEDICINE in ME

Provider Addresses for DR. ROLY CREEKMORE KANARD (MD)

  • 118 Northport Ave

    Belfast, ME 049156009

    Phone: (207) 661-8109

    Type: Location

  • 131 JUNIPER TRL

    EL JEBEL, CO 816238651

    Phone: (303) 921-7659

    Fax: (719) 530-2055

    Type: Mailing

  • 1000 RUSH DR

    SALIDA, CO 812019627

    Phone: (719) 530-2048

    Fax: (719) 530-2055

    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: 2020-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20080505000223IInternal MedicineCOTBD
I20200219000074IInternal MedicineMETBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2614$0
View full utilization report →

Insurance plans in this area (ZIP 04915)

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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: 7113837469View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMI
Physician AssistantCO
General SurgeryCO
Osteopathic Manipulative MedicineCO
P O D I A T R YCO
-CO
General SurgeryCO
-CO
Physician AssistantCO
Hospitalist, Internal MedicineOH

Reviews

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Frequently asked questions

Where can patients find DR. ROLY CREEKMORE KANARD (MD)'s NPI?
You can confirm DR. ROLY CREEKMORE KANARD (MD) with NPI 1235266891; it appears in the national provider directory.
Is DR. ROLY CREEKMORE KANARD (MD) active in the national directory?
DR. ROLY CREEKMORE KANARD (MD)'s public NPI profile is in an active state.
Does DR. ROLY CREEKMORE KANARD (MD) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. ROLY CREEKMORE KANARD (MD). Clinical services aligned with this taxonomy classification.
Where is DR. ROLY CREEKMORE KANARD (MD)'s primary listing?
We display Belfast, Maine because that is what the record indicates for DR. ROLY CREEKMORE KANARD (MD).
Is DR. ROLY CREEKMORE KANARD (MD) a real provider?
This page reflects official NPPES data for NPI 1235266891. Always confirm identity and privileges with the practice and licensing boards.

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