Individual provider Active NPI

Joseph V. Cannova Jr., M.D.

  • Plastic and Reconstructive Surgery Physician
  • Leawood, KS
National Provider Identifier
1225037732
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
04-27839 Issued in KS
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000650 KS Practitioner - Plastic and Reconstructive Surgery 6103868120 Reassigns benefits to 1 organization

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
Associated Plastic Surgeons PAGroup PAC ID 4486642006, 7 clinicians

Practice addresses (Care Compare)

11501 Granada St
Leawood, KS 66211-1454
Phone 9134513722118

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-27839KSMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Kansas City Surgical Center, LC Current Accepting new patients
Associated Plastic Surgeons PA CurrentSince Aug 20, 1998 Accepting new patients
Associated Plastic Surgeons PA PastSince Aug 20, 1998 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.

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

Sources for this page

Verify at the official NPI Registry.