DR. CAMILLE M. KANAAN (M.D.) – Maternal & Fetal Medicine Physician, NPI 1396738365

DR. CAMILLE M. KANAAN (M.D.) is a healthcare provider. based in Norfolk, Virginia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 0101257264 (VA). The NPI Number for DR. CAMILLE M. KANAAN (M.D.) is 1396738365

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAMILLE M. KANAAN (M.D.)
NPI
1396738365
Phone
(757) 446-7900
Address
PO BOX 936
Enumeration Date
25 August 2005
Last Update Date
12 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7574467900
Graduation Year
1978 (48 years ago)
PAC ID
2668473992
Group Practice PAC ID
5698675510
Professional Enrollment ID
I20141227000064
Address ID
VA235071914NO825XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,164 OBSTETRICS/GYNECOLOGY in VA

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Provider Addresses for DR. CAMILLE M. KANAAN (M.D.)

  • PO Box, adj, Main Road, Lot's Bridge, Upwell, King's Lynn and West Norfolk, Norfolk, East of England, England, PE14 9JA, United Kingdom

    EVMS MEDICAL GROUP

    NORFOLK, VA 235010936

    Phone: (757) 446-7900

    Fax: (757) 446-7464

    Type: Mailing

  • 825, Fairfax Avenue, Norfolk, Virginia, 23507, United States

    SUITE 310

    NORFOLK, VA 235071914

    Phone: (757) 446-7900

    Fax: (757) 446-7464

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $2,025.

Total Amount is formed as General ($2,025) + Research ($0) + Ownership ($0) = $2,025.

Last reported payment date: 2024-05-09 • Largest payer in this snapshot: PRAMAND LLC ($1,535).

Total Amount

$2,025

General + Research + Ownership

Payments

9

Total payment records

General Amount

$2,025

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PRAMAND LLC$1,535
SEALONIX INC.$490
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: 2014-12-27

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
I20141227000064IObstetrics/GynecologyVATBD

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 23501)

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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: 5698675510View full group profile
NameSpecialtyState
Family PracticeVA
-TX
Internal MedicineVA
General Surgery, Critical Care (Intensivists)VA
Family PracticeVA
-VA
-WA
Internal MedicineVA
O B S T E T R I C S/ G Y N E C O L O G YVA
O B S T E T R I C S/ G Y N E C O L O G YNY

Reviews

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Frequently asked questions

What NPI should I save for DR. CAMILLE M. KANAAN (M.D.)?
Save NPI 1396738365 if you need a stable reference for DR. CAMILLE M. KANAAN (M.D.).
Is DR. CAMILLE M. KANAAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. CAMILLE M. KANAAN (M.D.) list a primary specialty?
If you are matching referrals, note Maternal & Fetal Medicine Physician for DR. CAMILLE M. KANAAN (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. CAMILLE M. KANAAN (M.D.)?
We surface Norfolk, Virginia for DR. CAMILLE M. KANAAN (M.D.) based on available NPPES addresses.
Is DR. CAMILLE M. KANAAN (M.D.) a real provider?
This page reflects official NPPES data for NPI 1396738365. Always confirm identity and privileges with the practice and licensing boards.

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