NPIMap

Individual provider Active NPI

John P Canterbury, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1316951148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90308 Issued in FL
Practice address
601 NE 36TH St
Unit 3411
Miami, FL 33137-3914
Phone
(305) 323-2095
Fax
(786) 871-6202
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90308 FL Primary

Addresses

Primary practice location

601 NE 36TH St
Unit 3411
Miami, FL 33137-3914

Mailing address

601 NE 36TH St
Unit 3411
Miami, FL 33137-3914
Phone (305) 323-2095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041023000049 FL Practitioner - Internal MedicinePractitioner - Nephrology 4880655737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
University of Virginia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John Canterbury PAGroup PAC ID 5092803130, 2 clinicians

Practice addresses (Care Compare)

2500 Tamiami Trail N
Suite 102
Naples, FL 34103-4421
Phone (239) 263-2799

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone 2392632799239514

8300 Collier Blvd
Naples, FL 34114-3549
Phone (239) 263-2799

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John Canterbury PA Internal Medicine CurrentSince Oct 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8300 Collier Blvd
Naples, FL 34114
Phone (239) 348-4000

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

2500 Tamiami Trl N
Ste 102
Naples, FL 34103
Phone (239) 263-2799

680 2nd Ave N
Ste 203
Naples, FL 34102
Phone (239) 261-2312

110 Logan Ct
Albany, GA 31707
Phone (229) 883-1119

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

Organizations & group practices 2

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.

Hospital & facility affiliations 8

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316951148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NE 36TH ST",
            "address_2": "UNIT 3411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373914",
            "telephone_number": "305-323-2095",
            "fax_number": "786-871-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NE 36TH ST",
            "address_2": "UNIT 3411",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373914",
            "telephone_number": "305-323-2095",
            "fax_number": "786-871-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.