ZIAD KANAAN (MD) – Gastroenterology Physician, NPI 1245598606

ZIAD KANAAN (MD) is a healthcare provider. based in Detroit, Michigan. specializing in GASTROENTEROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 4301101616 (MI). The NPI Number for ZIAD KANAAN (MD) is 1245598606

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
ZIAD KANAAN (MD)
NPI
1245598606
Phone
Not provided
Address
3990 JOHN R ST
Enumeration Date
24 April 2012
Last Update Date
5 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3137458040
Graduation Year
2006 (20 years ago)
PAC ID
6800198177
Group Practice PAC ID
8628087681
Professional Enrollment ID
I20180611000210
Address ID
MI482012018DE3990XSTXX400

Contacts

Secure Messaging
zkanaan934863@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

648 GASTROENTEROLOGY in MI

Provider Addresses for ZIAD KANAAN (MD)

  • 3990 JOHN R ST

    DETROIT, MI 482012018

    Phone:

    Type: Mailing

  • 215 E MANSION ST STE 3A

    MARSHALL, MI 49068

    Phone: (269) 789-0025

    Fax: (269) 789-0445

    Type: Location

  • 5452 Fort St Ste 200

    Trenton, MI 481834638

    Phone: (734) 642-2727

    Fax: (734) 642-2725

    Type: Location

  • 18100 Oakwood Blvd Ste 100

    Dearborn, MI 481244085

    Phone: (313) 253-2000

    Type: Location

  • 26901 BEAUMONT BLVD STE 3D

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 18100 OAKWOOD BLVD STE 205

    DEARBORN, MI 481244085

    Phone: (313) 438-7880

    Fax: (313) 438-7882

    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: 2018-06-11

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
I20180611000210IGastroenterologyMITBD

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 48201)

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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: 8628087681View full group profile
NameSpecialtyState
-MI
Nurse PractitionerMI
Cardiovascular Disease (Cardiology)MI
H O S P I T A L I S TMI
-MI
Pulmonary Disease, Internal Medicine, Critical Care (Intensivists)MI
Internal Medicine, Infectious DiseaseMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Pulmonary Disease, Critical Care (Intensivists)MI
O P H T H A L M O L O G YPA

Reviews

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Frequently asked questions

How is ZIAD KANAAN (MD) identified in CMS data?
CMS-hosted NPPES data lists ZIAD KANAAN (MD) with NPI 1245598606.
Is ZIAD KANAAN (MD) still practicing?
ZIAD KANAAN (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes ZIAD KANAAN (MD)?
For research purposes, treat ZIAD KANAAN (MD) as Gastroenterology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is ZIAD KANAAN (MD) based?
ZIAD KANAAN (MD) is tied to Detroit, Michigan in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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