NPIMap

Organization Active NPI

Nova Medical Services - Surgical Division LLC

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1205548831
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
NOVA MEDICAL SERVICES - SURGICAL DIVISION LLC
Practice address
8260 W Flagler St Ste 1a
Miami, FL 33144-2069
Phone
(786) 715-9183
Fax
(786) 713-1115
NPI assigned
Dec 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Dr. Ivan Dario Canas Jr., DNP
Title
Ceo
Phone
(786) 715-9183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

8260 W Flagler St Ste 1a
Miami, FL 33144-2069

Mailing address

8260 W Flagler St Ste 1a
Miami, FL 33144-2069
Phone (786) 715-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230113001208 FL Part B Supplier - Clinic/Group Practice 0244601060 Receives reassigned benefits from 12 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8280 W Flagler St Ste 2I
Miami, FL 33144

16650 W Dixie Hwy
North Miami Beach, FL 33160
Phone (305) 337-0355

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1670976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1205548831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 1A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-715-9183",
            "fax_number": "786-713-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 1A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-715-9183",
            "fax_number": "786-713-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA MEDICAL SERVICES - SURGICAL DIVISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-14",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "CANAS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-715-9183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.