Individual provider Active NPI

Andrew Gerasimos Canakis

  • Gastroenterology Physician
  • Boston, MA
National Provider Identifier
1659875029
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
H98895 Issued in MD
Practice address
One Boston Medical Center PL
Shapiro Clinic, 6TH Floor
Boston, MA 02118
Phone
(617) 414-5951
NPI assigned
Mar 21, 2018
Reactivated
Mar 27, 2018
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2024-00982 NC
Gastroenterology Physician 207RG0100X H98895 MD Primary

Addresses

Primary practice location

One Boston Medical Center PL
Shapiro Clinic, 6TH Floor
Boston, MA 02118

Mailing address

1 Boston Medical Ctr PL
Boston, MA 02118-2908
Phone (617) 414-5951

Other practice location 1

4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-5050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acanakis1143282@direct.unc.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240605002992 MD Practitioner - GastroenterologyPractitioner - Internal Medicine 2062761067 Reassigns benefits to 4 organizations
I20241107002288 NC Practitioner - Gastroenterology 2062761067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

11103 Cathage Rd
Berlin, MD 21811-2114
Phone (410) 912-6021

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy134
Upper gastrointestinal (GI) endoscopy for acid reflux409

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H98895MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tidalhealth Primary Care, LLC CurrentSince Apr 21, 2024 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Unc Physicians Network LLC CurrentSince Dec 24, 2024 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jul 28, 2025 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Tidalhealth Atlantic, Inc. CurrentSince Aug 19, 2025 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 1, 2024 Accepting new patients
Atlantic General Hospital Corporation CurrentSince Aug 19, 2025 Accepting new patients
Unc Physicians Network LLC CurrentSince Dec 24, 2024 Accepting new patients

Locations

10231 Old Ocean City Blvd
Ste 205
Berlin, MD 21811
Phone (410) 629-6800

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

219 S Washington St
Easton, MD 21601

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

400 Eastern Shore Dr
Salisbury, MD 21804
Phone (410) 543-2255

6040 Public Landing Rd
Snow Hill, MD 21863
Phone (410) 629-0041

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2609 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 734-1779

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

Interoperability endpoints

  • Direct secure messaging: acanakis1143282@direct.unc.nchie.net

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1659875029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOSTON MEDICAL CTR PL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182908",
            "telephone_number": "617-414-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE BOSTON MEDICAL CENTER PL",
            "address_2": "SHAPIRO CLINIC, 6TH FLOOR",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02118",
            "telephone_number": "617-414-5951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4420 Lake Boone Trl",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276077505",
            "country_code": "US",
            "telephone_number": "919-784-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANAKIS",
        "first_name": "ANDREW",
        "middle_name": "GERASIMOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-21",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "deactivation_date": "2018-03-21",
        "reactivation_date": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2024-00982",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "H98895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acanakis1143282@direct.unc.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4420 Lake Boone Trl",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276077505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.