Individual provider Active NPI

Ivan Dario Canas Jr., DNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1366066649
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11007345 Issued in FL
Practice address
8260 W Flagler St Ste 2I
Miami, FL 33144-2069
Phone
(786) 715-9183
Fax
(786) 713-1115
NPI assigned
Jun 3, 2020
Last updated
Jan 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11007345 FL Primary

Addresses

Primary practice location

8260 W Flagler St Ste 2I
Miami, FL 33144-2069

Mailing address

8260 W Flagler St Ste 2I
Miami, FL 33144-2069
Phone (786) 715-9183

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ivan.canas@novamedicalcare.com NOVA MEDICAL SERVICES LLC

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720000176 FL Practitioner - Nurse Practitioner 6002230406 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Medical Services LLCGroup PAC ID 1759705148, 30 clinicians

Practice addresses (Care Compare)

8260 W Flager St
Suite 2I
Miami, FL 33144-2069
Phone (786) 715-9183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11007345FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Hospitalist Group LLC CurrentSince Mar 2, 2022 Accepting new patients
Nova Medical Services LLC CurrentSince Jun 18, 2020 Accepting new patients
Nova Medical Services - Specialties Division LLC PastSince Jul 1, 2021 Accepting new patients
Nova Medical Services Pain Management & Anesthesiology Division LLC PastSince Dec 3, 2024 Accepting new patients
Nova Medical Services - Cardiology Division LLC PastSince Jan 25, 2024 Accepting new patients
Nova Palliative Care Group LLC PastSince Apr 2, 2025 Accepting new patients
Nova Medical Services - Endocrinology Division LLC PastSince Jul 7, 2025 Accepting new patients

Locations

8260 W Flagler St
Ste 1A
West Miami, FL 33144
Phone (305) 220-4425

8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272

Organizations & group practices 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1366066649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2I",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-715-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 2I",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-715-9183",
            "fax_number": "786-713-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAS",
        "first_name": "IVAN",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivan.canas@novamedicalcare.com",
            "affiliation": "Y",
            "affiliationName": "NOVA MEDICAL SERVICES LLC",
            "address_1": "8260 W Flagler St Ste 2I",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331442069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.