NICHOLAS C KANAAN (M.D.) – Emergency Medicine Physician, NPI 1831423235
Emergency Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,179 EMERGENCY MEDICINE in AZ
Provider Addresses for NICHOLAS C KANAAN (M.D.)
327 W 200 S APT 404
SALT LAKE CITY, UT 841014212
Phone: (650) 723-9215
Type: Mailing
3700 W STATE ROUTE 89A
SEDONA, AZ 863364937
Phone: (928) 204-4100
Type: Location
400 East, Logan, Cache County, Utah, 84321, United States
Department of Emergency Medicine: ATTN Nicholas Kanaan
Logan, UT 843416000
Phone: (650) 723-9215
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: 2018-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121108000135 | I | Emergency Medicine | UT | TBD |
| I20130315000343 | I | Emergency Medicine | CA | TBD |
| I20150107002358 | I | Emergency Medicine | WY | TBD |
| I20180221002528 | I | Emergency Medicine | TX | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 66 | 66 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 30 | 30 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 23 | 21 | $0 |
Insurance plans in this area (ZIP 84101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | AL | |
| Nurse Practitioner | TX | |
| Emergency Medicine | TX | |
| Emergency Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Emergency Medicine, General Practice | TX | |
| Emergency Medicine | NM | |
| Family Practice, Emergency Medicine | TX | |
| Emergency Medicine | LA |
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