Active NPI
Joseph V. Cannova Jr., M.D.
- Plastic and Reconstructive Surgery Physician
- Leawood, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 04-27839
- Practice address
- 11501 Granada St
Leawood, KS 66211-1454 - Phone
- (913) 451-3722
- Fax
- (913) 451-5000
- NPI assigned
- Jul 18, 2005
- Last updated
- Apr 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 04-27839 | KS | Primary |
Addresses
Primary practice location
11501 Granada St
Leawood, KS 66211-1454
Mailing address
11501 Granada St
Leawood, KS 66211-1454
Phone (913) 451-3722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of Missouri, Kansas City, School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11501 Granada St
Leawood, KS 66211-1454
Phone 9134513722118
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-27839 | KS | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Kansas City Surgical Center, LC | Current | Accepting new patients | |
| Associated Plastic Surgeons PA | Current | Accepting new patients | |
| Associated Plastic Surgeons PA | Past | Accepting new patients |
Locations
11501 Granada St
Leawood, KS 66211
Phone (913) 321-8765
10730 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 428-9000
5525 W 119th St
Ste 100
Overland Park, KS 66209
Phone (913) 906-0837
5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000
1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400
2401 Gillham Rd
Kansas City, MO 64108
Phone (816) 234-3380
4400 Broadway Blvd
Ste 408
Kansas City, MO 64111
Phone (816) 561-6633
2851 NE Independence Ave 205 Ste 205
Lees Summit, MO 64064
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Leawood, KS
- NPI 1366441966
-
dba South Kansas City Surgicenter
- Ambulatory Surgical Clinic/Center
- Overland Park, KS
- NPI 1114924685
-
dba Associated Plastic Surgeons, Ambulatory Surgery Center
- Plastic Surgery Physician
- Lee's Summit, MO
- NPI 1649188020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1225037732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 GRANADA ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111454",
"telephone_number": "913-451-3722",
"fax_number": "913-451-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 GRANADA ST",
"city": "LEAWOOD",
"state": "KS",
"postal_code": "662111454",
"telephone_number": "913-451-3722",
"fax_number": "913-451-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNOVA",
"first_name": "JOSEPH",
"middle_name": "V.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-18",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "KS",
"license": "04-27839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leawood, KS
- Amanda C Caldwell, APRN
- Dana M Campbell, LSCSW
- Ronald Campbell, PMHNP
- William Richard Campbell Jr., M.D.
- Cancer Rehabilitation Specialists Lymphatic and Venous Disorders Inc (Cancer Rehabilitation Specialists)
- Kelley Capron, ARNP
- Capt LLC
- Care Medical Kansas, P.a.
- Carelon Medical Partners of Kansas, PA
- Carl S Cleveland IV, DC LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.