George E Canellakis, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

214648 Issued in MA

Practice address

231 Sutton St
Unit 1D
North Andover, MA 01845-1620

Phone

(978) 686-3877

Fax

(978) 686-9586

NPI assigned

May 12, 2006

Last updated

Dec 10, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

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 2

Specialty

Urology

Education

Boston University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Urologic Surgery, PCGroup PAC ID 9638154016, 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
• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
• Parkland Medical Center Hospital, Derry, NH, CCN 300017
• North Shore Medical Center - Hospital, Salem, MA, CCN 220035

Merit-based Incentive Payment System (MIPS)

Final score

98.26 of 100Reported as group

Promoting interoperability

94

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: georgecanellakis@neurosurg.medalliesdirect.net

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.

• Northeast Urologic Surgery, PC

  • Urology Physician
  • North Andover, MA
  • NPI 1053361352

  NH

  Medicare reassignment Care Compare group NPD
• 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.

• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation
• Lawrence General Hospital

  dba Merrimack Health Lawrence Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• LG Newcorp Inc

  dba Merrimack Health Methuen Hospital

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  Care Compare affiliation
• North Shore Medical Center, Inc.

  dba Salem Hospital

  • General Acute Care Hospital
  • Salem, MA
  • NPI 1730121633
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Parkland Medical Center

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260403200000",
    "number": "1245280874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 SUTTON ST",
            "address_2": "UNIT 1D",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451620",
            "telephone_number": "978-686-3877",
            "fax_number": "978-686-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 SUTTON ST",
            "address_2": "UNIT 1D",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018451620",
            "telephone_number": "978-686-3877",
            "fax_number": "978-686-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANELLAKIS",
        "first_name": "GEORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2009-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "214648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9719911",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0181935",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Anne Callahan
• Chloe Victoria Cameron
• Laura Joan Cameron, OTR/L
• Tania A Cames, DVM
• Robert James Camplese, BS
• Laurice M Canning, ACNP-BC
• Katie Canto, APRN
• Colleen A Capozzi
• Kersten Carberry, LMHC
• Carewell Physical Therapy LLC

• Urology Physician in North Andover, MA
• Providers in North Andover, MA by specialty
• Urology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.