Individual provider Active NPI

Michael Brian Canales, DPM

  • Podiatrist
  • Independence, OH
National Provider Identifier
1275723769
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003423 Issued in OH
Practice address
6701 Rockside Rd Ste 350
Independence, OH 44131-2351
Phone
(216) 369-2835
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36003423 OH Primary

Addresses

Primary practice location

6701 Rockside Rd Ste 350
Independence, OH 44131-2351

Mailing address

PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 369-2835

Other identifiers 1

IdentifierTypeStateIssuer
2760098MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address directrockside@cleveland.ipsmso.com Outreach Professional Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071024000538 OH Practitioner - Podiatry 0840387767 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLC 252 clinicians

Practice addresses (Care Compare)

6701 Rockside Rd
Suite 365
Independence, OH 44131-2316
Phone (216) 363-2556

Hospital & facility affiliations

  • Parma Community General Hospital Hospital, Parma, OH, CCN 360041
  • Uh Cleveland Medical Center Hospital, Cleveland, OH, CCN 360137

Merit-based Incentive Payment System (MIPS)

Final score
80.23 of 100Reported as group
Quality
59.13
Promoting interoperability
99
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue65
Removal of nail tissue123
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36003423OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Professional Services Inc CurrentSince Aug 1, 2007 Accepting new patients
Vascular Institute of Cleveland, LLC CurrentSince Oct 28, 2021 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Nov 16, 2022 Accepting new patients
Northern Ohio Medical Specialists LLC CurrentSince Nov 16, 2022 Accepting new patients
Outreach Professional Services, Inc CurrentSince Aug 1, 2007 Accepting new patients
Ksu Foot & Ankle Clinic Podiatrist CurrentSince Jul 1, 2012 Accepting new patients

Locations

18375 Ventura Blvd
Tarzana, CA 91356
Phone (818) 422-5322

1 Eagle Valley Ct
Broadview Heights, OH 44147
Phone (440) 746-1055

2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444

12575 Rockside Rd
Ste 102
Garfield Hts, OH 44125
Phone (216) 662-5252

6701 Rockside Rd
Ste 350
Independence, OH 44131
Phone (216) 369-2830

6000 Rockside Woods Blvd N
Independence, OH 44131
Phone (216) 231-5612

6701 Rockside Rd
Ste 365
Independence, OH 44131
Phone (216) 883-6656

6800 Ridge Rd
Ste 120
Parma, OH 44129
Phone (216) 328-0418

6820 Ridge Rd
Ste 100
Parma, OH 44129

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: mcanales29532@nomshealthcare.direct-ci.com
  • Direct secure messaging: mcanales223351@ehrdirect.uhhospitals.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1275723769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932127",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930008",
            "telephone_number": "216-369-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 ROCKSIDE RD STE 350",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312351",
            "telephone_number": "216-369-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANALES",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2760098",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "directrockside@cleveland.ipsmso.com",
            "affiliation": "Y",
            "affiliationName": "Outreach Professional Services Inc",
            "address_1": "6701 Rockside Rd Ste 350",
            "city": "Independence",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441312351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.