DOMIAN KANDAH D.O.
NPI 1013954585
Emergency Medicine in Warren, MI
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
Specialties & Licenses 2
Other Identifiers 9
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Domian Kandah D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Domian Kandah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Emergency Department Physicians PC
- 237 clinicians in this Medicare group
Detroit, MI 48236
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Observation Emergency Physicians PC
- 158 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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
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.
WARREN, MI 48093
WARREN, MI 48093
WARREN, MI 48093
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Domian Kandah located?
Domian Kandah practices at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-5059.
What is Domian Kandah's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Domian Kandah enrolled in Medicare?
Yes. Domian Kandah is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Domian Kandah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domian Kandah reassigns Medicare benefits to 2 organizations: Emergency Department Physicians, P.C. (Detroit, MI) and Observation Emergency Physicians, P.C. (Detroit, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Domian Kandah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Domian Kandah, D.O. · NPI 1013954585
Emergency Medicine physician in Warren, Michigan. Individual provider, active in the CMS NPPES registry since June 1, 2006.
## Identity
- **NPI:** 1013954585 (Entity type: Individual)
- **Enumerated:** June 1, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101008716 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 11800 E 12 MILE RD, Warren, MI 48093-3472
- **Phone:** (586) 573-5059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Emergency Department Physicians, P.C. (NPI 1225083595, Detroit, MI); Observation Emergency Physicians, P.C. (NPI 1497920524, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2023
- **Other identifiers:** Medicaid 112905533 (MI); Medicaid 114218327 (MI); Medicaid 112905758 (MI); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1013954585) · Data from the CMS NPPES public registry.