DR. MELISSA DANIELLE KANACK M.D.
NPI 1710373485
Plastic Surgery in San Diego, CA

Q: What is Melissa Kanack's NPI number?

The NPI number for Melissa Kanack is 1710373485. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Q: What is Melissa Kanack's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Kanack was last updated on June 24, 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.

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment

7920 FROST ST STE 200, SAN DIEGO, CA 92123(858) 966-4013 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Jul 9, 2021, May 25, 2021 and 2 more (5 updates tracked since 2016).

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About Dr. Melissa Danielle Kanack M.d. NPPES

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

DR. MELISSA DANIELLE KANACK M.D. (NPI 1710373485) is an individual plastic surgery provider in San Diego, California, licensed in California (A144388) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, San Diego School Of Medicine (2015).

NPPES Registry Identity

NPI1710373485

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameDR. MELISSA DANIELLE KANACKCredential: M.D.

Location Address7920 FROST ST STE 200San Diego, CA 92123-4289

Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300

Phone(858) 966-4013

Sole ProprietorNo

Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2015

Enumeration DateApril 9, 2015

Last NPPES UpdateJune 24, 20225 updates tracked since enumeration

NPPES CertifiedJune 24, 2022

✔ NPI 1710373485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in CA · A144388✔ Licensed in MA · 287354

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

7920 FROST ST STE 200, San Diego, CA 92123

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Secondary Practice Locations 2

Location 1300 Longwood AveBoston, MA 02115-5724 · Phone (617) 355-6000

Location 2200 W Arbor DrSan Diego, CA 92103-9000 · Phone (800) 926-8273 · Fax (858) 642-3110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Melissa Danielle Kanack M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901184274

PECOS Enrollment IDI20220707002344

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 92123 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

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

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Other Providers at the Same Location NPPES 16

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

MISS ALYSON BETH O'CONNOR PA-C

Physician Assistant (Surgical)