Individual provider Active NPI

Jeffrey Bruce Kaner, M.D.

  • Gastroenterology Physician
  • Cooper City, FL
National Provider Identifier
1366443947
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME73251 Issued in FL
Practice address
11011 Sheridan St
Suite 109
Cooper City, FL 33026-1505
Phone
(954) 961-8400
Fax
(954) 961-8401
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME73251 FL Primary

Addresses

Primary practice location

11011 Sheridan St
Suite 109
Cooper City, FL 33026-1505

Mailing address

4700 Sheridan St
Suite M
Hollywood, FL 33021-3420
Phone (954) 961-8400

Other identifiers 1

IdentifierTypeStateIssuer
254942500MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000660 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 7012946189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastro Health, LLCGroup PAC ID 2365440567, 246 clinicians

Practice addresses (Care Compare)

11011 Sheridan St
Suite 109
Hollywood, FL 33026-1501
Phone (954) 961-8400

Hospital & facility affiliations

  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital Pembroke Hospital, Pembroke Pines, FL, CCN 100230
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281

Merit-based Incentive Payment System (MIPS)

Final score
82.04 of 100Reported as group
Quality
65.4
Promoting interoperability
98
Improvement activities
40
Cost
76.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy80
Upper gastrointestinal (GI) endoscopy for acid reflux113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME73251FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastro Health, LLC Gastroenterology CurrentSince Aug 1, 2017 Accepting new patients
Gastro Health LLC Gastroenterology CurrentSince Aug 1, 2017 Accepting new patients
Gcpa Anesthesia Services, LLC Current Accepting new patients

Locations

4675 Linton Blvd
Ste 202
Delray Beach, FL 33445
Phone (561) 495-5700

4700 Sheridan St
Hollywood, FL 33021
Phone (954) 505-4458

11011 Sheridan St
Ste 109
Hollywood, FL 33026
Phone (954) 431-7724

11011 Sheridan St
Ste 106
Hollywood, FL 33026
Phone (954) 435-0101

4700 Sheridan St
Ste M
Hollywood, FL 33021
Phone (954) 961-8400

4700 Sheridan St
Ste F
Hollywood, FL 33021
Phone (954) 961-8400

3661 S Miami Ave
Ste 907
Miami, FL 33133
Phone (305) 856-7333

Interoperability endpoints

  • Direct secure messaging: jeffrey.kaner@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1366443947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SHERIDAN ST",
            "address_2": "SUITE M",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213420",
            "telephone_number": "954-961-8400",
            "fax_number": "954-961-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 SHERIDAN ST",
            "address_2": "SUITE 109",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330261505",
            "telephone_number": "954-961-8400",
            "fax_number": "954-961-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANER",
        "first_name": "JEFFREY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME73251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254942500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

Verify at the official NPI Registry.