DOMIAN KANDAH (D.O.) – Emergency Medicine Physician, NPI 1013954585

DOMIAN KANDAH (D.O.) is a healthcare provider. based in Woodbury, New Jersey. specializing in Emergency Medicine Physician. They hold the professional credentials D.O.. They hold a License No. 008716 (MI). The NPI Number for DOMIAN KANDAH (D.O.) is 1013954585

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DOMIAN KANDAH (D.O.)
NPI
1013954585
Phone
(856) 686-4308
Address
307 S EVERGREEN AVE
Enumeration Date
1 June 2006
Last Update Date
13 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5865735059
Graduation Year
1998 (28 years ago)
PAC ID
2769578350
Group Practice PAC ID
9133292410
Professional Enrollment ID
I20140529000701
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for DOMIAN KANDAH (D.O.)

  • 307, South Evergreen Avenue, Woodbury, Gloucester County, New Jersey, 08096, United States

    WOODBURY, NJ 080962739

    Phone: (856) 686-4308

    Type: Mailing

  • Saint John Macomb-Oakland Hospital, Warren, 11800, East 12 Mile Road, Warren, Macomb County, Michigan, 48093, United States

    WARREN, MI 480933472

    Phone: (586) 573-5059

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($34).

Total Amount

$34

General + Research + Ownership

Payments

1

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-05-29

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
I20140529000701IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making117115$0
99238Hospital discharge day management, 30 minutes or less5555$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5050$0
99284Emergency department visit with moderate level of medical decision making4746$0
99291Critical care, first 30-74 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 08096)

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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: 9133292410View full group profile

Reviews

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Frequently asked questions

What is the registry number for DOMIAN KANDAH (D.O.)?
The registry entry for DOMIAN KANDAH (D.O.) shows NPI 1013954585.
Should I treat DOMIAN KANDAH (D.O.) as an active provider?
Patients and plans typically see DOMIAN KANDAH (D.O.) as active in the national extract.
What does the directory say DOMIAN KANDAH (D.O.) does?
Insurance directories may phrase it differently, but here DOMIAN KANDAH (D.O.) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DOMIAN KANDAH (D.O.) tied to Woodbury, New Jersey?
If you are local to Woodbury, New Jersey, DOMIAN KANDAH (D.O.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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