James L Canterbury, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

36-00-2825-C Issued in OH

Practice address

5156 E Main St
Columbus, OH 43213-2424

Phone

(614) 702-7655

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in OH, IN2 enrollments

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 2

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.82 of 100Reported as group

Quality

72.99

Improvement activities

40

Cost

75.6

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138

  IN, OH

  Medicare reassignment Care Compare group
• Dedicated Columbus Ohio, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1538798483

  OH

  Medicare reassignment NPD
• Dedicated Columbus Ohio, LLC

  • Non-Pharmacy Dispensing Site
  • Columbus, OH
  • NPI 1932660438
  NPD
• Cleveland Foot and Ankle Clinic

  • Podiatric Clinic/Center
  • Cleveland, OH
  • NPI 1538165626
  NPD (past)
• Kenneth L Abram

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
  • NPI 1386768125
  NPD (past)
• Kenneth L Abram

  • Foot & Ankle Surgery Podiatrist
  • Newark, OH
  • NPI 1396835799
  NPD (past)
• Pro-Active Wound Care Clinics LLC

  • Foot & Ankle Surgery Podiatrist
  • Dublin, OH
  • NPI 1467485813
  NPD (past)
• Aggeus Healthcare, P.C.

  • Podiatrist
  • Chicago, IL
  • NPI 1033156955
  NPD (past)
• Preferred Podiatry Group PC

  • Podiatrist
  • Chicago, IL
  • NPI 1134576143
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1881709905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "614-702-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132424",
            "telephone_number": "614-702-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30915 Lorain Rd",
            "address_purpose": "LOCATION",
            "city": "North Olmsted",
            "state": "OH",
            "postal_code": "440704722",
            "country_code": "US",
            "telephone_number": "440-471-4970",
            "fax_number": "440-617-6065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Maple St Ste D",
            "address_purpose": "LOCATION",
            "city": "Hartville",
            "state": "OH",
            "postal_code": "446329001",
            "country_code": "US",
            "telephone_number": "330-877-3668",
            "fax_number": "330-686-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTERBURY",
        "first_name": "JAMES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36-00-2825-C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881709905",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201326650",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0938347",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01458521",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01555868",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liza Bennett Canowitz, CNM
• Gina Cantale
• Justin Canter
• Kristina J Canter, MEDICAL ASSISTANT
• Lucas Canter
• Marla Marie Canterbury, LSW
• Santiago Cantillo Campos, MD
• Steffany Lyn Cantillo, PHARM.D.
• Joshua Cantor, LMT
• Brittany Alice Cantrell

• Foot & Ankle Surgery Podiatrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Foot & Ankle Surgery Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.

Verify at the official NPI Registry.