LEONARD ANATOLY KAZANOV (M.D.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1124026323

LEONARD ANATOLY KAZANOV (M.D.) is a healthcare provider. based in Frederick, Maryland. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. D0053809 (MD). The NPI Number for LEONARD ANATOLY KAZANOV (M.D.) is 1124026323

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
LEONARD ANATOLY KAZANOV (M.D.)
NPI
1124026323
Phone
(240) 379-7776
Address
5930 FREDERICK CROSSING LN
Enumeration Date
12 July 2005
Last Update Date
2 December 2010

Doctor Profile

Medical School Name
UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Secondary Phone
2403797776
Graduation Year
1994 (32 years ago)
PAC ID
7618991381
Group Practice PAC ID
6800810573
Professional Enrollment ID
I20110518000657
Address ID
MD217045149FR5930XLNXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

988 EMERGENCY MEDICINE in MD

Loading map...

Provider Addresses for LEONARD ANATOLY KAZANOV (M.D.)

  • Advanced Urgent Care, 5930, Frederick Crossing Lane, Frederick Crossing, Evergreen Point, Frederick County, Maryland, 21701-4546, United States

    FREDERICK, MD 217045137

    Phone: (240) 379-7776

    Fax: (240) 379-7787

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2011-05-18

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
I20110518000657IEmergency MedicineMDTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes206172$0
87804Detection test by immunoassay with direct visual observation for influenza virus9444$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus5349$0
99203New patient office or other outpatient visit, 30-44 minutes4949$0
81003Automated urinalysis test3431$0
View full utilization report →

Insurance plans in this area (ZIP 21704)

Loading plans...

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: 6800810573View full group profile
NameSpecialtyState
Physician AssistantVA
Physician AssistantMD
Physician AssistantMD
Emergency MedicineMD
Physician AssistantLA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to LEONARD ANATOLY KAZANOV (M.D.)?
NPI 1124026323 is assigned to LEONARD ANATOLY KAZANOV (M.D.) under the national enumeration system.
Is LEONARD ANATOLY KAZANOV (M.D.) active in the national directory?
LEONARD ANATOLY KAZANOV (M.D.)'s public NPI profile is in an active state.
What does LEONARD ANATOLY KAZANOV (M.D.) treat or focus on?
Patients typically see LEONARD ANATOLY KAZANOV (M.D.) under the specialty Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location shows for LEONARD ANATOLY KAZANOV (M.D.)?
We surface Frederick, Maryland for LEONARD ANATOLY KAZANOV (M.D.) based on available NPPES addresses.
What if Frederick, Maryland seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

Similar Providers

JOSEPH S CRISANTI (M.D.)

Family Medicine Physician
West Ocean City Injury & Illness Center, 12547, Ocean Gateway, Ocean City, Worcester County, Maryland, 21842, United States
NPI: 1598752271

EMERGENCY MEDICINE ASSOCIATES P.A., P.C.

Emergency Medicine Physician
15225 Heathcote Blvd
NPI: 1134117393

DR. FERMIN JR. BARRUETO (M.D.)

Emergency Medical Services (Emergency Medicine) Physician
500 Upper Chesapeake Dr
NPI: 1548248818