Martin Rojas Canillas, MD

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

ME123994 Issued in FL

Practice address

14555 Cortez Blvd
Brooksville, FL 34613-6003

Phone

(352) 556-4823

Fax

(352) 556-4824

NPI assigned

Jul 2, 2008

Last updated

Jul 21, 2022By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Coast Musculoskeletal Institute PLGroup PAC ID 0446319438, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Dade City Hospital, Dade City, FL, CCN 100211
• Adventhealth North Pinellas Hospital, Tarpon Springs, FL, CCN 100055

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

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.

• West Coast Musculoskeletal Institute PL

  • Orthopaedic Surgery Physician
  • Brooksville, FL
  • NPI 1083870604
  Medicare reassignment Care Compare group NPD
• Aurora Medical Group. Corp

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
  • NPI 1306487202
  Medicare reassignment
• Access Health Care Physicians LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1245529742

  Family Medicine

  NPD
• Access Health Care LLC

  • Family Medicine Physician
  • Beverly Hills, FL
  • NPI 1043453020
  NPD (past)

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

• Florida Hospital Dade City Inc

  dba AdventHealth Dade City

  • General Acute Care Hospital
  • Dade City, FL
  • NPI 1215444054
  Care Compare affiliation
• Tarpon Springs Hospital Foundation Inc

  dba AdventHealth North Pinellas

  • General Acute Care Hospital
  • Tarpon Springs, FL
  • NPI 1568473015
  Care Compare affiliation

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1295998037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14690 SPRING HILL DR",
            "address_2": "SUITE 101",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098102",
            "telephone_number": "352-799-0046",
            "fax_number": "352-799-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14555 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136003",
            "telephone_number": "352-556-4823",
            "fax_number": "352-556-4824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7509 State Road 52 Ste 170",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "FL",
            "postal_code": "346676787",
            "country_code": "US",
            "telephone_number": "352-556-4823",
            "fax_number": "352-556-4824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANILLAS",
        "first_name": "MARTIN",
        "middle_name": "ROJAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "26447",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME123994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1213R",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015444400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alberto Antonio Calle Encalada, M.D.
• Denise Violet Campbell, MSN ARNP FNP-BC
• Lydia Jo Campbell, APRN
• Stephanie Campbell, LCSW
• Taina Cancel, CST/CSFA
• Kelly A Cannon
• Morgan Cantaloupe, MD
• Deborah Cappola, LMT
• Richard Raymond Caradonna, M.D.
• Cardiology Associates L.L.C.

• Sports Medicine (Family Medicine) Physician in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Sports Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.