Active NPI
Rulz T. Cantave, M.D.
- Gastroenterology Physician
- Port Orange, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME131942
- 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.
-
- Gastroenterology Physician
- Port Orange, FL
- NPI 1790790277
FL, Gastroenterology
-
- Family Medicine Physician
- Daytona Beach, FL
- NPI 1245283530
FL, Gastroenterology
-
- Anesthesiology Physician
- Port Orange, FL
- NPI 1538432034
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
Hospital
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 CentersHalifax Healthcare Systems Inc
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
- Halifax Health /Uf Health Medical Center of Delton
- Halifax Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 197 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 356 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 68498 | MN | MD | Internal Medicine Physician |
| ME131942 | FL | MD | Gastroenterology Physician |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Gastroenterology Health Care Centers | Gastroenterology | Current | Accepting new patients |
| Atlantic Anesthesia Services, LLC | Current | Accepting new patients | |
| Halifax Healthcare Systems Inc | Gastroenterology | Current | 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
- rulz.cantave@hca4.eclinicaldirectplus.com
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.