KANCC MEDICAL
NPI 1437710563
General Practice in Detroit, MI
About Kancc Medical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KANCC MEDICAL (NPI 1437710563) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since June 2019. The organization lists Peter R Nwoke, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kancc Medical is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kancc Medical, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Kancc Medical Plc's NPI number?
The NPI number for Kancc Medical Plc is 1437710563. It was assigned to this organization in the NPPES registry on June 28, 2019. The provider is doing business as Kancc Medical.
Where is Kancc Medical Plc located?
Kancc Medical Plc is located at 17331 Mack Ave, Detroit, MI 48224. The listed phone number is (313) 473-8525.
What is Kancc Medical Plc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Kancc Medical Plc enrolled in Medicare?
Yes. Kancc Medical Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kancc Medical Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Kancc Medical Plc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kancc Medical Plc was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kancc Medical · NPI 1437710563
General Practice organization in Detroit, Michigan. Organization record, active in the CMS NPPES registry since June 28, 2019.
## Identity
- **NPI:** 1437710563 (Entity type: Organization)
- **Enumerated:** June 28, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Kancc Medical Plc
- **Organization subpart:** No
- **Authorized official:** Peter Nwoke, OWNER
## Practice location
- **Address:** 17331 MACK AVE, Detroit, MI 48224-2250
- **Phone:** (313) 473-8525 · **Fax:** (313) 473-8521
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1437710563) · Data from the CMS NPPES public registry.