Individual provider

Samer Kanaan, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Vascular Surgery Physician Medicare enrolled

Samer Kanaan, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Riverside, CA, registered under NPI 1689864522. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 4234 RIVERWALK PKWY STE 120, Riverside, CA 92505. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4234 RIVERWALK PKWY STE 120, Riverside, CA 92505 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
A87174 CA Thoracic Surgery (Cardiothoracic Vascular… primary
81611 WI Vascular Surgery Physician
81611 WI Thoracic Surgery (Cardiothoracic Vascular…

Licences are recorded in 2 states: CA, WI. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Thoracic Surgery
PAC ID
0143318071

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
California I20081104000063 Practitioner - Thoracic Surgery
Wisconsin I20221007001898 Practitioner - Vascular Surgery

Medicare enrolment is recorded as approved under the provider type Practitioner - Thoracic Surgery. There are 2 separate enrolment records across 2 states (CA, WI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and Wisconsin. The practice address on file is in Riverside, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
A87174
Specialty
Thoracic Surgery (Cardiothoracic…
Verify with the CA board →
WI Wisconsin
Licence
81611
Specialty
Vascular Surgery Physician
Verify with the WI board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Thoracic Surgery (Cardiothoracic Vascular Surgery) covers

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. NUCC Health Care Provider Taxonomy, code 208G00000X
Allopathic & Osteopathic Physicians Thoracic Surgery (Cardiothoracic Vascular Surgery)

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician A87174 CA primary
2086S0129X Vascular Surgery Physician Vascular Surgery 81611 WI
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 81611 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1689864522 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 26, 2007
Last updatedFeb 23, 2024
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 4234 RIVERWALK PKWY STE 120
Riverside, CA 92505
(951) 781-3672
Fax (951) 781-0365
Mailing address 4234 RIVERWALK PKWY STE 230
Riverside, CA 92505
This record was updated on Feb 23, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1689864522 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 8 9 8 6 4 5 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 7 9 7 6 8 5 4

Sum = 78 · next multiple of 10 = 80 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1689864522?
NPI 1689864522 is the National Provider Identifier assigned to Samer Kanaan, M.D. in Riverside, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician cover?
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves…
How do I contact Samer Kanaan, M.D.?
The phone number on file with NPPES is (951) 781-3672, last updated Feb 23, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Samer Kanaan, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1689864522 a valid number?
Yes. 1689864522 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.