Individual provider Active NPI

Rulz T. Cantave, M.D.

  • Gastroenterology Physician
  • Port Orange, FL
National Provider Identifier
1376962878
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME131942 Issued in FL
Practice address
1690 Dunlawton Ave Ste 210
Port Orange, FL 32127-8980
Phone
(386) 763-4920
NPI assigned
Apr 11, 2014
Sex
Male
Sole proprietor
No

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 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Gastroenterology Health Care Centers 7 clinicians
Halifax Healthcare Systems Inc 345 clinicians

Practice addresses (Care Compare)

1690 Dunlawton Ave
Suite 230
Port Orange, FL 32127-8980
Phone (386) 763-4920

303 N Clyde Morris Blvd
Daytona BCH, FL 32114-2709
Phone (386) 254-4000

Hospital & facility affiliations

  • Halifax Health Medical Center Hospital, Daytona Beach, FL, CCN 100017
  • Halifax Health /Uf Health Medical Center of Delton Hospital, Deltona, FL, CCN 100330
  • Halifax Health Inpatient rehabilitation facility, Daytona Beach, FL, CCN 10T017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy197
Upper gastrointestinal (GI) endoscopy for acid reflux356

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240606003198 FL Practitioner - Gastroenterology 9830594712 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68498MNMDInternal Medicine Physician
ME131942FLMDGastroenterology Physician

Practice roles (3 of 5)

OrganizationSpecialtyStatusNew patients
Advanced Gastroenterology Health Care Centers Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients
Atlantic Anesthesia Services, LLC CurrentSince Aug 1, 2024 Accepting new patients
Halifax Healthcare Systems Inc Gastroenterology CurrentSince May 3, 2024 Accepting new patients

Locations

1890 Lpga Blvd
Ste 270
Daytona Beach, FL 32117
Phone (386) 763-4920

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

1690 Dunlawton Ave
Ste 230
Port Orange, FL 32127
Phone (386) 763-4920

1690 Dunlawton Ave
Ste 210
Port Orange, FL 32127
Phone (386) 763-4920

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: rulz.cantave@hca4.eclinicaldirectplus.com

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 68498 MN
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X ME131942 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1690 Dunlawton Ave Ste 210
Port Orange, FL 32127-8980

Mailing address

1690 Dunlawton Ave Ste 210
Port Orange, FL 32127-8980
Phone (386) 763-4920

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2024.

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1376962878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE STE 210",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278980",
            "telephone_number": "386-763-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 DUNLAWTON AVE STE 210",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321278980",
            "telephone_number": "386-763-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTAVE",
        "first_name": "RULZ",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-11",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "68498",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME131942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.