NPIMap

Organization Active NPI

Nova Nephrology Group LLC

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1639982424
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NOVA NEPHROLOGY GROUP LLC
Practice address
8260 W Flagler St Ste 1a
Miami, FL 33144-2069
Phone
(786) 715-9183
NPI assigned
Jan 28, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Dr. Ivan Dario Canas Jr., DNP, MBANPI 1366066649
Title
Ceo
Phone
(786) 715-9183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X Primary

Addresses

Primary practice location

8260 W Flagler St Ste 1a
Miami, FL 33144-2069

Mailing address

11420 N Kendall Dr Ste 206
Miami, FL 33176-1039
Phone (786) 715-9183

Other practice location 1

11420 N Kendall Dr Ste 206
Miami, FL 33176-1039
Phone (786) 715-9183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250827002947 FL Part B Supplier - Clinic/Group Practice 8527569029 Receives reassigned benefits from 7 practitioners
Practice locations: Miami, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1639982424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 N KENDALL DR STE 206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761039",
            "telephone_number": "786-715-9183",
            "fax_number": "786-713-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 W FLAGLER ST STE 1A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442069",
            "telephone_number": "786-715-9183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11420 N Kendall Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331761039",
            "country_code": "US",
            "telephone_number": "786-715-9183",
            "fax_number": "786-713-1115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOVA NEPHROLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CANAS",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "DARIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-715-9183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DNP, MBA"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.