Patrick Joseph Canavan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

82 Juniper LN
Tewksbury, MA 01876-1271

Phone

(781) 475-2456

NPI assigned

Nov 21, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Urologic Surgery, PC 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Holy Family Hospital Hospital, Methuen, MA, CCN 220080

Merit-based Incentive Payment System (MIPS)

Final score

98.26 of 100Reported as group

Promoting interoperability

94

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northeast Urologic Surgery, PC

  • Urology Physician
  • North Andover, MA
  • NPI 1053361352

  MA

  Medicare reassignment Care Compare group
• Northeast Urologic Surgery, Neus, LLC

  • Urology Physician
  • North Andover, MA
  • NPI 1326708264
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281

  Hospital

  Care Compare affiliation
• LG Newcorp Inc

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1194434951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 JUNIPER LN",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761271",
            "telephone_number": "781-475-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 JUNIPER LN",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018761271",
            "telephone_number": "781-475-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVAN",
        "first_name": "PATRICK",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabel Byakika, LPN
• Elis Emmanuelle Cabral Da Nobrega
• Tamara Cadet, LICSW
• Leah Calderazzo
• Leila Renee Camplese
• Alvance Cangas
• Yvonne Marie Canuel, COTA/L
• Carewell Urgent Care Centers of Ma, P.C
• Kathleen Carpenter, OT
• Nicholas Carroll

• All providers in Tewksbury, MA
• Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.