Individual provider Active NPI

Richard Jess Kanoff

  • Neurology with Special Qualifications in Child Neurology Physician
  • Saint Petersburg, FL
National Provider Identifier
1407893753
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
OS16527 Issued in FL
Practice address
601 5TH St S
Saint Petersburg, FL 33701-4804
Phone
(727) 767-8181
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 38218 MN
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X OS16527 FL Primary

Addresses

Primary practice location

601 5TH St S
Saint Petersburg, FL 33701-4804

Mailing address

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-3925

Other identifiers 1

IdentifierTypeStateIssuer
105788700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20051101000553 WI Practitioner - Neurology 4981621638 Reassigns benefits to 2 organizations
I20060621000126 MN Practitioner - Neurology 4981621638 Reassigns benefits to 3 organizations
I20211115001016 FL Practitioner - NeurologyPractitioner - Pediatric Medicine 4981621638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Pediatric Medicine
Education
Nova Southeastern College of Osteo Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Physician Services, Inc.Group PAC ID 7113989849, 200 clinicians

Practice addresses (Care Compare)

601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 727-4429

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Hospital of Superior Current Accepting new patients
St. Joseph'S Medical Center Current Accepting new patients
Deer River Healthcare Center, Inc. Current Accepting new patients
Pediatric Physician Services, Inc. CurrentSince Aug 13, 2021 Accepting new patients
Brainerd Medical Center Inc. CurrentSince Nov 1, 2015 Accepting new patients
St Joseph'S Medical Center CurrentSince Nov 1, 2015 Accepting new patients
St. Mary'S Duluth Clinic Health System Current Accepting new patients
St. Joseph'S Medical Center CurrentSince Nov 1, 2015 Accepting new patients
Brainerd Medical Center Inc Current Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jan 25, 2017 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Jan 25, 2017 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients

Locations

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

601 5th St S
St Petersburg, FL 33701
Phone (727) 767-3333

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

601 5th St S
Ste 511
St Petersburg, FL 33701

523 N 3rd St
Brainerd, MN 56401
Phone (218) 828-7394

13060 Isle Dr
Brainerd, MN 56425
Phone (218) 454-5920

2024 S 6th St
Brainerd, MN 56401
Phone (218) 828-2880

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

730 E 34th St
Hibbing, MN 55746
Phone (218) 262-3425

1180 Chandler Dr
Spooner, WI 54801
Phone (715) 635-2151

3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281

3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457

Interoperability endpoints

  • Direct secure messaging: rkanoff733760@direct.hopkinsmedicine.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1407893753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E 3RD ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558051951",
            "telephone_number": "218-786-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 5TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014804",
            "telephone_number": "727-767-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOFF",
        "first_name": "RICHARD",
        "middle_name": "JESS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MN",
            "license": "38218",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "FL",
            "license": "OS16527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105788700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.