Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Justin Andrew Kan, MD

Individual provider Emergency Medicine Physician · NPI 1649412321

Dr. Justin Andrew Kan, MD is an Emergency Medicine in Cedar Crest, New Mexico. Qualified in 2009, 17 years ago. Practices with Heritage Physician Services LLC, a 33-clinician group and accepts Medicare assignment. Licensed in Indiana and New Mexico.

Years since qualifying
17
Licensed in
IN, NM
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

50 Calyx Ln
Cedar Crest, NM 87008
Phone: (505) 506-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD2012-0251 (NM)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 01095336A (IN)

Record details

NPI number1649412321
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 27, 2009
Last updated in NPPESFebruary 6, 2025
Certification dateFebruary 6, 2025
Mailing address50 Calyx Ln, Cedar Crest, NM 87008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Heritage Physician Services Llc — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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