Active NPI
Ellery E Canlas, M.D.
- Nephrology Physician
- Merritt Island, FL
National Provider Identifier
1811085749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME101792
- Practice address
- 245 S Courtenay Pkwy
Merritt Island, FL 32952-4831 - Phone
- (321) 453-5326
- Fax
- (321) 452-8507
- NPI assigned
- Oct 10, 2006
- Last updated
- Oct 26, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME101792 | FL | Primary |
Addresses
Primary practice location
245 S Courtenay Pkwy
Merritt Island, FL 32952-4831
Mailing address
571 Wethersfield PL
Melbourne, FL 32940-1879
Phone (321) 622-4752
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Rutgers New Jersey Medical School, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
245 S Courtenay Pkwy
Merritt Island, FL 32952-4831
Phone (321) 453-5326
Hospital & facility affiliations
- Fresenius Kidney Care Cocoa
- Cape Canaveral Hospital
- Viera Hospital
- Holmes Regional Medical Center
- Parrish Medical Center
- Orlando Health Melbourne Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brevard Nephrology Group PA | Nephrology | Current | Accepting new patients |
Locations
245 S Courtenay Pkwy
Merritt Island, FL 32952
Phone (321) 453-5326
245 S Courtenay Pkwy
Ste B
Merritt Island, FL 32952
Phone (321) 453-5326
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- ecanlas23577@epicdirect.hf.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72643
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nephrology Physician
- Merritt Island, FL
- NPI 1003029786
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Fresenius Kidney Care Cocoa
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Cocoa, FL
- NPI 1881267698
Dialysis facility
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
dba First Flight
- Air Ambulance
- Melbourne, FL
- NPI 1235312281
Hospital
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
dba Parrish Medical Center
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
dba Orlando Health Melbourne Hospital
- General Acute Care Hospital
- Melbourne, FL
- NPI 1033937883
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1811085749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 WETHERSFIELD PL",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329401879",
"telephone_number": "321-622-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S COURTENAY PKWY",
"city": "MERRITT ISLAND",
"state": "FL",
"postal_code": "329524831",
"telephone_number": "321-453-5326",
"fax_number": "321-452-8507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANLAS",
"first_name": "ELLERY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME101792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merritt Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.