ZACHARY STANLEY CANADAY (D.O.) – Emergency Medicine Physician, NPI 1497471668

ZACHARY STANLEY CANADAY (D.O.) is a healthcare provider. based in Tulsa, Oklahoma. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. 9124 (OK). The NPI Number for ZACHARY STANLEY CANADAY (D.O.) is 1497471668

Main info

Male
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY STANLEY CANADAY (D.O.)
NPI
1497471668
Phone
Not provided
Address
1111 W 17TH ST
Enumeration Date
18 October 2022
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9187741100
Graduation Year
2024 (2 years ago)
PAC ID
9739682683
Group Practice PAC ID
9032131735
Professional Enrollment ID
I20250915002649
Address ID
OK749552811SA213XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

747 EMERGENCY MEDICINE in OK

Provider Addresses for ZACHARY STANLEY CANADAY (D.O.)

  • 1111 W 17TH ST

    TULSA, OK 741071886

    Phone:

    Type: Mailing

  • 3930 E 33RD ST

    TULSA, OK 741351643

    Phone: (918) 813-6269

    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: 2026-02-11

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
I20250915002649IEmergency MedicineOKTBD
I20260211001191IEmergency MedicineTXTBD

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 74107)

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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: 9032131735View full group profile

Reviews

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Frequently asked questions

How is ZACHARY STANLEY CANADAY (D.O.) identified in CMS data?
CMS-hosted NPPES data lists ZACHARY STANLEY CANADAY (D.O.) with NPI 1497471668.
Does the file indicate ZACHARY STANLEY CANADAY (D.O.) is practicing under active NPI?
Directory data currently reports ZACHARY STANLEY CANADAY (D.O.) as active.
What is ZACHARY STANLEY CANADAY (D.O.)'s specialty?
The listing groups ZACHARY STANLEY CANADAY (D.O.) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ZACHARY STANLEY CANADAY (D.O.) based?
ZACHARY STANLEY CANADAY (D.O.) is tied to Tulsa, Oklahoma in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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