Individual provider Active NPI

Andres Eduardo Canova, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1831137165
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
ME83256 Issued in FL
Practice address
8645 North Military Trail
Suite 408
Palm Beach Gardens, FL 33410-6294
Phone
(855) 867-6224
NPI assigned
Jun 2, 2006
Last updated
Aug 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME83256 FL
Hematology & Oncology Physician 207RH0003X ME83256 FL
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X ME83256 FL Primary

Addresses

Primary practice location

8645 North Military Trail
Suite 408
Palm Beach Gardens, FL 33410-6294

Mailing address

5300 East Ave
West Palm Beach, FL 33407-2387
Phone (561) 227-5127

Other identifiers 1

IdentifierTypeStateIssuer
264946200MedicaidFL

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
I20060505000437 FL Practitioner - Hospice/Palliative CarePractitioner - Hematology/Oncology 7618988650 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83256FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor Palliative Care Services, Inc. Internal Medicine CurrentSince Sep 20, 2018 Accepting new patients
Hospice by the Sea Inc Past Accepting new patients

Locations

3060 Melaleuca Ln
Palm Springs, FL 33461
Phone (561) 336-7000

5300 East Ave
West Palm Beach, FL 33407
Phone (561) 227-5177

Interoperability endpoints

  • Direct secure messaging: acanova19482@jupitermedicalcenter.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1831137165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 EAST AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072387",
            "telephone_number": "561-227-5127",
            "fax_number": "561-455-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8645 NORTH MILITARY TRAIL",
            "address_2": "SUITE 408",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106294",
            "telephone_number": "855-867-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANOVA",
        "first_name": "ANDRES",
        "middle_name": "EDUARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83256",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME83256",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME83256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264946200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.