Active NPI
Caleb John Cannella, CAA
- Anesthesiologist Assistant
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- AA741
- Practice address
- 1525 W Cypress Creek Rd
Fort Lauderdale, FL 33309-1831 - Phone
- (800) 437-2672
- NPI assigned
- Sep 1, 2022
- 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 |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | AA741 | FL | Primary |
Addresses
Primary practice location
1525 W Cypress Creek Rd
Fort Lauderdale, FL 33309-1831
Mailing address
6451 Pershing St
Hollywood, FL 33024-2036
Phone (850) 597-0753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220920001758 | FL | Practitioner - Anesthesiology Assistant | 3870978364 | Reassigns benefits to 2 organizations |
| I20260514003682 | GA | Practitioner - Anesthesiology Assistant | 3870978364 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sheridan Healthcorp Inc
Practice addresses (Care Compare)
1431 SW 1St Ave
Ocala, FL 34471-6500
Phone (352) 401-1033
Hospital & facility affiliations
- Memorial Regional Hospital
- Broward Health Imperial Point
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AA741 | FL | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Associates of Tallahassee, Inc. | Anesthesiologist Assistant | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Current | Accepting new patients | |
| Sheridan Healthcorp, Inc. | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Current | Accepting new patients | |
| Anesthesiology Associates of Tallahassee Inc | Past | Accepting new patients |
Locations
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
2173 Centerville Pl
Ste A
Tallahassee, FL 32308
2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1922772037
FL
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1386469385
Anesthesiologist Assistant
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1245802784
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
-
- Anesthesiology Physician
- Tallahassee, FL
- NPI 1831171990
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1346960929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6451 PERSHING ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242036",
"telephone_number": "850-597-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W CYPRESS CREEK RD",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333091831",
"telephone_number": "800-437-2672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNELLA",
"first_name": "CALEB",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "FL",
"license": "AA741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.