Individual provider Active NPI

Steven P Kanner, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Fort Lauderdale, FL
National Provider Identifier
1679539613
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME 12953 Issued in FL
Practice address
5430 NW 33Rd Ave
Suite 106
Fort Lauderdale, FL 33309-6349
Phone
(877) 868-4827
Fax
(877) 283-0663
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0012953 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME 12953 FL Primary

Addresses

Primary practice location

5430 NW 33Rd Ave
Suite 106
Fort Lauderdale, FL 33309-6349

Mailing address

5430 NW 33Rd Ave
Suite 106
Fort Lauderdale, FL 33309-6349
Phone (877) 868-4827

Other identifiers 1

IdentifierTypeStateIssuer
046132600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000419 FL Practitioner - Hospice/Palliative CarePractitioner - Internal MedicinePractitioner - Hematology/Oncology 4688854524 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0012953FLMDSpecialist
ME 12953FLMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitas Solutions Inc Hospice and Palliative Medicine CurrentSince Oct 9, 2010 Accepting new patients

Locations

5430 NW 33rd Ave
Ste 106
Ft Lauderdale, FL 33309
Phone (877) 884-8277

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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1679539613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 NW 33RD AVE",
            "address_2": "SUITE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096349",
            "telephone_number": "877-868-4827",
            "fax_number": "877-283-0663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 NW 33RD AVE",
            "address_2": "SUITE 106",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333096349",
            "telephone_number": "877-868-4827",
            "fax_number": "877-283-0663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNER",
        "first_name": "STEVEN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0012953",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME 12953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046132600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.