Active NPI
Steven P Kanner, M.D.
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fort Lauderdale, FL
National Provider Identifier
1679539613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- License
- ME 12953
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046132600 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0012953 | FL | MD | Specialist |
| ME 12953 | FL | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitas Solutions Inc | Hospice and Palliative Medicine | Current | 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.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Miramar, FL
- NPI 1861666497
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.