Active NPI
Patrick J Canan, DO
- Family Medicine Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0056619
- Practice address
- 2002 Medical Pkwy
Suite 670
Annapolis, MD 21401-3046 - Phone
- (443) 481-1150
- Fax
- (410) 224-0065
- NPI assigned
- Jul 20, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | H0056619 | MD | Primary |
Addresses
Primary practice location
2002 Medical Pkwy
Suite 670
Annapolis, MD 21401-3046
Mailing address
PO Box 12622
Belfast, ME 04915-4017
Phone (443) 481-6572
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 262679 | Other | MD | KAISER |
| 606897000 | Other | MD | FEDERAL WORKMAN'S COMP |
| 7223307 | Other | MD | AETNA PPO |
| 0004 | Other | DC | BCBS |
| 2133450 | Other | MD | MAMSI |
| 61009902 | Other | MD | BCBS |
| 2701143 | Other | MD | AETNA HMO |
| 2096584 | Other | MD | UNITED HEALTHCARE |
| 807301500 | Medicaid | MD | |
| 9597962002 | Other | MD | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2002 Medical Pkwy
Annapolis, MD 21401-3277
2003 Medical Pkwy
Annapolis, MD 21401-3081
2003 Medical Pkwy Wayson Pavillion
Advanced Internal Medicine Residenc
Annapolis, MD 21401-3081
Phone (443) 951-4286
Hospital & facility affiliations
- The Johns Hopkins Home Health Services, Inc
- Homecall
- Luminis Health Anne Arundel Medical Center, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H0056619 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2000 Medical Pkwy
Ste 200
Annapolis, MD 21401
Phone (443) 481-3493
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2002 Medical Pkwy
Ste 670
Annapolis, MD 21401
Phone (410) 481-1150
Interoperability endpoints
- pcanan688@direct.aahs.org
Organizations & group practices 4
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.
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Gastroenterology Physician
- Annapolis, MD
- NPI 1598598245
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Easton, MD
- NPI 1700971843
-
- Home Health Agency
- Baltimore, MD
- NPI 1669551321
-
- Clinical Medical Laboratory
- Annapolis, MD
- NPI 1356885032
Hospital
-
- General Acute Care Hospital
- Annapolis, MD
- NPI 1477517225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1306845375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12622",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154017",
"telephone_number": "443-481-6572",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 MEDICAL PKWY",
"address_2": "SUITE 670",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013046",
"telephone_number": "443-481-1150",
"fax_number": "410-224-0065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANAN",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "H0056619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "262679",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKMAN'S COMP",
"identifier": "606897000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7223307",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0004",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2133450",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "61009902",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2701143",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2096584",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "807301500",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9597962002",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.