Individual provider Active NPI

Jeanette Cancel, MD

  • Infectious Disease Physician
  • Clearwater, FL
National Provider Identifier
1740246644
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME55080 Issued in FL
Practice address
2349 Sunset Point Rd Ste 405
Clearwater, FL 33765-1439
Phone
(727) 216-6193
Fax
(877) 868-0981
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME55080 FL
Infectious Disease Physician 207RI0200X ME55080 FL Primary

Addresses

Primary practice location

2349 Sunset Point Rd Ste 405
Clearwater, FL 33765-1439

Mailing address

4440 Fruitville Rd
Sarasota, FL 34232-1926
Phone (941) 366-0134

Other practice location 1

4758 Rowan Rd
New Port Richey, FL 34653-5601
Phone (727) 312-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PR2 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
I20060126000245 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 3476567736 Reassigns benefits to 1 organization
I20060522000138 PR Practitioner - Infectious DiseasePractitioner - Internal Medicine 3476567736 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Ponce School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Can Community Health IncGroup PAC ID 6305883133, 42 clinicians

Practice addresses (Care Compare)

2349 Sunset Point Rd
Suite 405
Clearwater, FL 33765-1439
Phone (727) 216-6193

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.03
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: jeanette.cancel@can.eclinicaldirectplus.com

Organizations & group practices 3

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1740246644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 FRUITVILLE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321926",
            "telephone_number": "941-366-0134",
            "fax_number": "414-041-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 SUNSET POINT RD STE 405",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651439",
            "telephone_number": "727-216-6193",
            "fax_number": "877-868-0981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4758 Rowan Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346535601",
            "country_code": "US",
            "telephone_number": "727-312-2040",
            "fax_number": "888-806-9655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCEL",
        "first_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME55080",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME55080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.