Individual provider Active NPI

Javier J Canasi, MD

  • Internal Medicine Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1396774584
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME54757 Issued in FL
Practice address
900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547
Phone
(561) 775-0335
Fax
(561) 775-9492
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME54757 FL Primary

Addresses

Primary practice location

900 Village Square Xing Ste 130
Palm Beach Gardens, FL 33410-4547

Mailing address

900 Village Square Xing
Ste 130
Palm Beach Gardens, FL 33410-4547
Phone (561) 775-0335

Other identifiers 4

IdentifierTypeStateIssuer
277578600MedicaidFL
10876OtherFLBLUE CROSS BLUE SHIELD
1396774584MedicaidFL
P00155039OtherGARAILROAD MEDICARE AUG GA

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
I20041103000201 FL Practitioner - Internal Medicine 3072575893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gator Medical Health IncGroup PAC ID 4880980416, 3 clinicians
Javier J. Canasi, M.D.,P.a.Group PAC ID 8628030442, 2 clinicians

Practice addresses (Care Compare)

900 Village Square Xing
Suite 130
Palm Beach Gardens, FL 33410-4547
Phone (561) 775-0335

Hospital & facility affiliations

  • USA Home Health Services, Inc. Home health agency, Delray Beach, FL, CCN 107785
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287
  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253
  • Nursing Center at La Posada, The Nursing home, Palm Beach Gardens, FL, CCN 106067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gator Medical Health Inc Internal Medicine CurrentSince Mar 8, 2016 Accepting new patients
Javier J. Canasi, M.D.,P.a. Internal Medicine CurrentSince Aug 1, 2006 Accepting new patients
Palms West Imaging Inc Past Accepting new patients

Locations

3345 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 775-0335

900 Village Square Xing
Ste 130
Palm Beach Gardens, FL 33410
Phone (561) 775-0335

3370 Burns Rd
Ste 106
Palm Beach Gardens, FL 33410
Phone (561) 622-3875

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFACA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nursing Center at la PosadaPalm Beach Gardens, FL, CCN 106067 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 9, 2014
May 9, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 4

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1396774584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING",
            "address_2": "STE 130",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104547",
            "telephone_number": "561-775-0335",
            "fax_number": "561-775-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 130",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104547",
            "telephone_number": "561-775-0335",
            "fax_number": "561-775-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANASI",
        "first_name": "JAVIER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME54757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277578600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10876",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396774584",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE AUG GA",
            "identifier": "P00155039",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.