Active NPI
Colin Lee Kanar, M.D.
- Physical Medicine & Rehabilitation Physician
- Naples, FL
National Provider Identifier
1407881576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- ME69760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379550100 | Medicaid | FL |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME0069760 | FL | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colin Kanar MD PA | Physical Medicine & Rehabilitation | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Naples, FL
- NPI 1801829718
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.