DOMIAN KANDAH D.O.
NPI 1013954585
Emergency Medicine in Warren, MI

Q: What is Domian Kandah's NPI number?

The NPI number for Domian Kandah is 1013954585. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Domian Kandah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Domian Kandah was last updated on February 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2006PECOS Enrolled

11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5059 Get Directions Write a Review

NPPES record last updated: February 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Domian Kandah D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMIAN KANDAH D.O. (NPI 1013954585) is an individual emergency medicine provider in Warren, Michigan, licensed in Michigan (5101008716) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013954585

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDOMIAN KANDAHCredential: D.O.

Location Address11800 E 12 MILE RDWarren, MI 48093-3472

Mailing Address307 S Evergreen AveWoodbury, NJ 08096-2739 · (856) 686-4308

Phone(586) 573-5059

Sole ProprietorNo

Enumeration DateJune 1, 2006

Last NPPES UpdateFebruary 13, 2023

NPPES CertifiedFebruary 13, 2023

✔ NPI 1013954585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MI · 5101008716

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License 008716 (MI)

11800 E 12 MILE RD, Warren, MI 48093

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Other Identifiers 9

Medicaid112905533MI

Medicaid114218327MI

Medicaid112905758MI

Medicaid2791439OH

Medicaid112905749MI

Other000000552888OH · Anthem/bcbs

Medicaid114206077MI

OtherP00427186OH · Medicare Railroad

OtherDK008716MI · Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Domian Kandah D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%73 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHEAL BUGGIA M.D.

Emergency Medicine