Individual provider Active NPI

Charles William Kanaly, M.D.

  • Neurological Surgery Physician
  • Fall River, MA
National Provider Identifier
1568637296
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
249870 Issued in MA
Practice address
277 Pleasant St Ste 101
Fall River, MA 02721-3005
Phone
(508) 672-0545
Fax
(508) 672-0547
NPI assigned
Apr 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD13727 RI
Neurological Surgery Physician 207T00000X 249870 MA Primary

Addresses

Primary practice location

277 Pleasant St Ste 101
Fall River, MA 02721-3005

Mailing address

277 Pleasant St Ste 101
Fall River, MA 02721-3005
Phone (508) 672-0545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120202000568 MA Practitioner - Neurosurgery 8820269525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Vanderbilt University School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians
Neurosurgery Center of Southern New England, PCGroup PAC ID 1254657752, 5 clinicians

Practice addresses (Care Compare)

277 Pleasant St
Fall River, MA 02721-3005
Phone (508) 676-3292

Hospital & facility affiliations

  • Accentcare Home Health of Massachusetts Home health agency, Fall River, MA, CCN 227203
  • Saint Anne'S Hospital Hospital, Fall River, MA, CCN 220020
  • Brown University Health Morton Hospital Hospital, Taunton, MA, CCN 220073

Merit-based Incentive Payment System (MIPS)

Final score
90.89 of 100Reported as individual
Quality
71.58
Promoting interoperability
95
Improvement activities
40
Cost
79.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion281
Laminectomy or laminotomy (partial removal of spine bones)90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249870MAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgery Center of Southern New England, PC Neurological Surgery Current Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Sep 1, 2025 Accepting new patients
Lifespan of Massachusetts - Fall River Inc Past Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

277 Pleasant St
Fall River, MA 02721
Phone (508) 617-9740

277 Pleasant St
#101
Fall River, MA 02721
Phone (508) 672-0545

277 Pleasant St
Ste 101
Fall River, MA 02721
Phone (508) 617-9740

537 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 672-0545

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

Interoperability endpoints

  • Direct secure messaging: charles.kanaly.1@9642.direct.athenahealth.com

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 3

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": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1568637296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 101",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-672-0545",
            "fax_number": "508-672-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PLEASANT ST STE 101",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213005",
            "telephone_number": "508-672-0545",
            "fax_number": "508-672-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANALY",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "RI",
            "license": "MD13727",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MA",
            "license": "249870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.