Individual provider Active NPI

Jaime Cancel, MD

  • Pulmonary Disease Physician
  • Port Charlotte, FL
National Provider Identifier
1689778706
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME137658 Issued in FL
Practice address
4235 Kings Highway
Suite 103
Port Charlotte, FL 33980-8421
Phone
(941) 613-1777
Fax
(941) 613-1779
NPI assigned
Sep 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME137658 FL
Pulmonary Disease Physician 207RP1001X ME137658 FL Primary

Addresses

Primary practice location

4235 Kings Highway
Suite 103
Port Charlotte, FL 33980-8421

Mailing address

4235 Kings Highway
Suite 103
Port Charlotte, FL 33980-8421
Phone (941) 613-1777

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
I20181207000547 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 5597708867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Sleep and Critical Care Specialists PL 9 clinicians

Practice addresses (Care Compare)

4235 Kings Hwy
Unit 103
Port Charlotte, FL 33980-8421
Phone (941) 613-1777

Hospital & facility affiliations

  • HCA Florida Fawcett Hospital Hospital, Port Charlotte, FL, CCN 100236
  • Adventhealth Port Charlotte Hospital, Port Charlotte, FL, CCN 100077
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • HCA Florida Englewood Hospital Hospital, Englewood, FL, CCN 100267

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
98.52
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137658FLMDCritical Care Medicine (Internal Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: jaime.cancel.1@2765.direct.athenahealth.com

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.

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": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1689778706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 KINGS HIGHWAY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808421",
            "telephone_number": "941-613-1777",
            "fax_number": "941-613-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 KINGS HIGHWAY",
            "address_2": "SUITE 103",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339808421",
            "telephone_number": "941-613-1777",
            "fax_number": "941-613-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCEL",
        "first_name": "JAIME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME137658",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME137658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.