Individual provider Active NPI

Andres Luciano Caneva, DPM

  • Podiatrist
  • Joliet, IL
National Provider Identifier
1831695303
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
016.005920 Issued in IL
Practice address
200 N Hammes Ave
Joliet, IL 60435-6677
Phone
(815) 741-0791
NPI assigned
Apr 3, 2018
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 016.005920 IL Primary

Addresses

Primary practice location

200 N Hammes Ave
Joliet, IL 60435-6677

Mailing address

200 N Hammes Ave
Joliet, IL 60435-6677
Phone (815) 741-0791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428003162 IL Practitioner - Podiatry 8022427228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caneva Foot and Ankle Clinic, LTD.Group PAC ID 8921133018, 4 clinicians

Practice addresses (Care Compare)

200 N Hammes Ave
Joliet, IL 60435-6677
Phone (815) 741-0791

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.41 of 100Reported as individual
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue49
Removal of skin lesions20
Removal of nail tissue1026
Removal or shaving of skin growth564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016.005920ILMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Caneva Foot & Ankle Clinic, LTD. Podiatrist CurrentSince Jul 1, 2021 Accepting new patients

Locations

200 N Hammes Ave
Ste 1
Joliet, IL 60435

200 N Hammes Ave
Joliet, IL 60435
Phone (815) 741-0791

1000 S Hamilton St
Lockport, IL 60441
Phone (815) 838-6515

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.

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1831695303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356677",
            "telephone_number": "815-741-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N HAMMES AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356677",
            "telephone_number": "815-741-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANEVA",
        "first_name": "ANDRES",
        "middle_name": "LUCIANO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016.005920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.