ELIAS T KANAAN (MD) – Internal Medicine Physician, NPI 1639175797

ELIAS T KANAAN (MD) is a healthcare provider. based in Livingston, Texas. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials MD. They hold a License No. K3270 (TX). The NPI Number for ELIAS T KANAAN (MD) is 1639175797

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
ELIAS T KANAAN (MD)
NPI
1639175797
Phone
(936) 328-5820
Address
210 W PARK STE 104
Enumeration Date
23 June 2005
Last Update Date
6 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9363285820
Graduation Year
1993 (33 years ago)
PAC ID
9234168055
Group Practice PAC ID
9133158942
Professional Enrollment ID
I20050811000346
Address ID
TX773518337LI210XXPARK303
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for ELIAS T KANAAN (MD)

  • 210 W PARK STE 104

    LIVINGSTON, TX 773518337

    Phone: (936) 328-5820

    Fax: (936) 328-5824

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 141 Open Payments records for all available years, with a total value of $2,639.

Total Amount is formed as General ($2,639) + Research ($0) + Ownership ($0) = $2,639.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($526).

Total Amount

$2,639

General + Research + Ownership

Payments

141

Total payment records

General Amount

$2,639

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2005-08-11

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
I20050811000346IInternal 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes975279$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit227227$0
99497Advance care planning, first 30 minutes222218$0
99214Established patient office or other outpatient visit, 30-39 minutes133101$0
G0008Administration of influenza virus vaccine117116$0
View full utilization report →

Insurance plans in this area (ZIP 77351)

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Provider's Procedures

ELIAS T KANAAN (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX81002Urinalysis, manual test6554

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: 9133158942View full group profile
NameSpecialtyState
Family PracticeTX

Reviews

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Frequently asked questions

What unique ID ties claims to ELIAS T KANAAN (MD)?
NPI 1639175797 is assigned to ELIAS T KANAAN (MD) under the national enumeration system.
Does this profile mean ELIAS T KANAAN (MD) is currently active?
Yes — ELIAS T KANAAN (MD) appears active in the national provider directory.
What field does ELIAS T KANAAN (MD) work in?
You can think of ELIAS T KANAAN (MD) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for ELIAS T KANAAN (MD)?
We surface Livingston, Texas for ELIAS T KANAAN (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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