Individual provider Active NPI

Federico Mariano Canavosio II, MEDICAL DOCTOR

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1679721393
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME104488 Issued in FL
Practice address
1300 36TH St Ste 1a
Vero Beach, FL 32960-4898
Phone
(772) 925-8230
Fax
(772) 925-8235
NPI assigned
Sep 6, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME104488 FL
Hospitalist Physician 208M00000X CDRH.0056925 CO
Internal Medicine Physician 207R00000X ME104488 FL Primary

Addresses

Primary practice location

1300 36TH St Ste 1a
Vero Beach, FL 32960-4898

Mailing address

1300 36TH St Ste 1a
Vero Beach, FL 32960-4898
Phone (772) 925-8230

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
I20130510000434 FL Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Hospitalist 4587801576 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Services PLLCGroup PAC ID 9234477258, 2 clinicians

Practice addresses (Care Compare)

1300 36TH St
Suite 1a
Vero Beach, FL 32960-4898
Phone (772) 925-8230

Hospital & facility affiliations

  • Health at Home Home health agency, Port Saint Lucie, FL, CCN 109028
  • NHC Homecare Home health agency, Vero Beach, FL, CCN 107515
  • Pinnacle Home Care Home health agency, Port Saint Lucie, FL, CCN 109610
  • Visiting Nurse Association of Indian River County Inc Home health agency, Vero Beach, FL, CCN 107134
  • HCA Florida Healthcare at Home Home health agency, Fort Pierce, FL, CCN 107271
  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
  • Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
  • Willowbrooke Court at Indian River Estates Nursing home, Vero Beach, FL, CCN 105593

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue12
Removal of skin lesions98
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME104488FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Sep 30, 2017 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Jul 1, 2015 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Dec 28, 2016 Accepting new patients
Hospitalist Services PLLC CurrentSince Jan 1, 2019 Accepting new patients
Sound Physicians of Florida IV, LLC Internal Medicine CurrentSince Dec 28, 2016 Accepting new patients
Hospital Medicine Services of FL, LLC Hospitalist CurrentSince Apr 1, 2023 Accepting new patients
Indian River Health Services Inc CurrentSince Jul 1, 2014 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Sep 30, 2017 Accepting new patients
North Mississippi Medical Center Inc Past Accepting new patients

Locations

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

301 Memorial Medical Pkwy
Holly Hill, FL 32117
Phone (386) 231-3906

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

3100 E Fletcher Ave
#C
Tampa, FL 33613

1749 David Walker Dr
Tavares, FL 32778
Phone (352) 742-1760

1741 David Walker Dr
Tavares, FL 32778
Phone (352) 742-3578

1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666

1300 36th St
Ste 1A
Vero Beach, FL 32960
Phone (772) 205-3345

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCAGBD/Endpoint/BCAGBD
  • Direct secure messaging: ferderico.canavosio@oconeeregional.gadirect.net

Organizations & group practices 9

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 8

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": "1220659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1679721393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE 1A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-925-8230",
            "fax_number": "772-925-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE 1A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-925-8230",
            "fax_number": "772-925-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANAVOSIO",
        "first_name": "FEDERICO",
        "middle_name": "MARIANO",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MEDICAL DOCTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-06",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME104488",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CO",
            "license": "CDRH.0056925",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.