Individual provider Active NPI

Adriana Gonzalez-Canal, MD

  • Family Medicine Physician
  • Riverview, FL
National Provider Identifier
1962060475
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME157382 Issued in FL
Practice address
10141 Big Bend Rd Ste 101
Riverview, FL 33578-7419
Phone
(813) 397-1270
Fax
(813) 397-1271
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME157382 FL Primary

Addresses

Primary practice location

10141 Big Bend Rd Ste 101
Riverview, FL 33578-7419

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Adriana.Gonzalez-CanalMD@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

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
I20220714003560 FL Practitioner - Family Practice 3577944099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

Hospital & facility affiliations

  • Baycare Home Care Inc Home health agency, Lakeland, FL, CCN 107282
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC Family Medicine CurrentSince Mar 15, 2023 Accepting new patients
Millennium Physician Group LLC Family Medicine CurrentSince Mar 15, 2023 Accepting new patients
Baycare Medical Group, Inc Family Medicine CurrentSince Jun 4, 2024 Accepting new patients
Baycare Medical Group, Inc. Family Medicine Current Accepting new patients
Baycare Medical Group, Inc. Family Medicine CurrentSince Jun 4, 2024 Accepting new patients

Locations

830 N Mills Ave
Arcadia, FL 34266
Phone (863) 494-6599

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

6037 Winthrop Commerce Ave
Ste 210
Riverview, FL 33578
Phone (813) 423-7123

10141 Big Bend Rd
Ste 101
Riverview, FL 33578
Phone (813) 397-1270

Interoperability endpoints

  • Direct secure messaging: adriana.gonzalez-canalmd@direct.mybaycare.org
  • Direct secure messaging: adriana.gonzalezcanal.p1@direct.churchhealthcenter.nextgenshare.com

Organizations & group practices 5

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.

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1962060475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10141 BIG BEND RD STE 101",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335787419",
            "telephone_number": "813-397-1270",
            "fax_number": "813-397-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-CANAL",
        "first_name": "ADRIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME157382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Adriana.Gonzalez-CanalMD@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10141 Big Bend Rd Ste 101",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335787419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.