Active NPI
Michael Brian Canales, DPM
- Podiatrist
- Independence, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36003423
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2760098 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
6701 Rockside Rd
Suite 365
Independence, OH 44131-2316
Phone (216) 363-2556
Hospital & facility affiliations
- Parma Community General Hospital
- Uh Cleveland Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 59.13
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.81
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 65 |
| Removal of nail tissue | 123 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36003423 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Professional Services Inc | Current | Accepting new patients | |
| Vascular Institute of Cleveland, LLC | Current | Accepting new patients | |
| Northern Ohio Medical Specialists, LLC | Current | Accepting new patients | |
| Northern Ohio Medical Specialists LLC | Current | Accepting new patients | |
| Outreach Professional Services, Inc | Current | Accepting new patients | |
| Ksu Foot & Ankle Clinic | Podiatrist | Current | 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
- mcanales29532@nomshealthcare.direct-ci.com
- 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.
-
- Vascular Surgery Physician
- Garfield Heights, OH
- NPI 1033743240
OH
-
- Durable Medical Equipment & Medical Supplies
- Lorain, OH
- NPI 1952281511
-
- Internal Medicine Physician
- Cleveland, OH
- NPI 1134119829
-
- Durable Medical Equipment & Medical Supplies
- Cleveland, OH
- NPI 1104371640
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Parma, OH
- NPI 1164481677
Hospital
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
Hospital
-
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.