Individual provider Active NPI

Colin Lee Kanar, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Naples, FL
National Provider Identifier
1407881576
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
ME69760 Issued in FL
Practice address
11983 Tamiami TRL N
Suite 100D
Naples, FL 34110-1603
Phone
(239) 593-0918
Fax
(239) 593-0927
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME0069760 FL
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X ME0069760 FL
Physical Medicine & Rehabilitation Physician 208100000X ME69760 FL Primary
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician 2081N0008X ME69760 FL

Addresses

Primary practice location

11983 Tamiami TRL N
Suite 100D
Naples, FL 34110-1603

Mailing address

PO Box 112108
Naples, FL 34108-0136
Phone (239) 593-0918

Other identifiers 1

IdentifierTypeStateIssuer
379550100MedicaidFL

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
I20050217000013 FL Practitioner - Physical Medicine and Rehabilitation 4486606514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colin Kanar MD PAGroup PAC ID 9234181363, 2 clinicians

Practice addresses (Care Compare)

11983 Tamiami N TRL
100D
Naples, FL 34110-1603
Phone (239) 593-0918

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069760FLMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Colin Kanar MD PA Physical Medicine & Rehabilitation CurrentSince Jan 1, 2005 Accepting new patients

Locations

11983 Tamiami Trl N
Ste 100D
Naples, FL 34110
Phone (239) 593-0918

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

11983 Tamiami Trl N
#100D
Naples, FL 34110
Phone (239) 261-0926

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1407881576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112108",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080136",
            "telephone_number": "239-593-0918",
            "fax_number": "239-593-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11983 TAMIAMI TRL N",
            "address_2": "SUITE 100D",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341101603",
            "telephone_number": "239-593-0918",
            "fax_number": "239-593-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANAR",
        "first_name": "COLIN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME0069760",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "ME0069760",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME69760",
            "primary": true
        },
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "FL",
            "license": "ME69760",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379550100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.