Active NPI
Tony L Cantwell, MD
- Urology Physician
- Daytona Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME0056872
- Practice address
- 545 Health Blvd
Daytona Beach, FL 32114-1493 - Phone
- (386) 239-8500
- NPI assigned
- Jul 5, 2006
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | ME0056872 | FL | Primary |
Addresses
Primary practice location
545 Health Blvd
Daytona Beach, FL 32114-1493
Mailing address
12109 County Road 103
Oxford, FL 34484-2951
Phone (352) 205-8981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10274 | Other | BLUE SHIELD | |
| 063291100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.09 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0056872 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Urology Institute, LLC | Urology | Current | Accepting new patients |
| Advanced Urology Institute, LLC | Urology | Current | Accepting new patients |
Locations
545 Health Blvd
Daytona Beach, FL 32114
Phone (386) 239-8500
609 W Highland Blvd
Inverness, FL 34452
Phone (352) 726-9707
506 Palmetto St
New Smyrna Beach, FL 32168
Phone (386) 427-9554
1061 Medical Center Dr
Ste 300
Orange City, FL 32763
Phone (386) 427-9554
12109 County Road 103
Oxford, FL 34484
Phone (352) 205-8981
Interoperability endpoints
- https://app.meldrx.com/api/fhir/uc41222_advuroswflorida
- anthonycantwell@aui.medalliesdirect.net
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 and National Provider Directory roles.
-
- Urology Physician
- Oxford, FL
- NPI 1023447935
-
- Durable Medical Equipment & Medical Supplies
- Inverness, FL
- NPI 1700024163
Urology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1316978737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12109 COUNTY ROAD 103",
"city": "OXFORD",
"state": "FL",
"postal_code": "344842951",
"telephone_number": "352-205-8981",
"fax_number": "352-391-6498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 HEALTH BLVD",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321141493",
"telephone_number": "386-239-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTWELL",
"first_name": "TONY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2020-12-15",
"certification_date": "2020-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME0056872",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "10274",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063291100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.