Individual provider Active NPI

David Adrian Cancelada, M.D.

  • Surgery Physician
  • Onaga, KS
National Provider Identifier
1972544583
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
04-31386 Issued in KS
Practice address
120 W 8TH St
Onaga, KS 66521-9574
Phone
(785) 889-4274
Fax
(785) 889-4749
NPI assigned
Jun 8, 2006
Last updated
Oct 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X R5P90 MO
Surgery Physician 208600000X 04-31386 KS Primary

Addresses

Primary practice location

120 W 8TH St
Onaga, KS 66521-9574

Mailing address

120 W 8TH St
Onaga, KS 66521-9574
Phone (785) 889-4274

Other practice location 1

206 S Grand Ave
Saint Marys, KS 66536-1637
Phone (785) 437-3734

Other practice location 2

114 W 8th St
Onaga, KS 66521-9574
Phone (785) 889-5039

Other practice location 3

1603 W 4th St
Holton, KS 66436-1153
Phone (785) 364-3205

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chdcancelada@chcsks.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20080905000054 KS Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 5799851382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Uniformed Services Uhs Fe Hebert School of Med, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Healthcare System IncGroup PAC ID 8325031529, shared by 11 NPIs, 31 clinicians

Practice addresses (Care Compare)

120 W 8TH St
Onaga, KS 66521-9574
Phone (785) 889-4274

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-31386KSMDSurgery Physician
R5P90MOMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthcare System, Inc CurrentSince Jan 30, 2017 Accepting new patients
Community Healthcare System, Inc CurrentSince Dec 1, 2025 Accepting new patients
Community Healthcare System, Inc CurrentSince Jan 30, 2017 Accepting new patients
Tallgrass Balance, Hearing & Physical Therapy LLC PastSince Oct 1, 2012 Accepting new patients
Tallgrass General, Vascular & Thoracic Surgery Past Accepting new patients
Community Healthcare System, Inc Past Accepting new patients

Locations

1603 W 4th St
Holton, KS 66436
Phone (785) 364-3205

206 S Grand Ave
Saint Marys, KS 66536
Phone (785) 437-3734

Interoperability endpoints

  • Direct secure messaging: chdcancelada@chcsks.cernerdirect.com

Organizations & group practices 6

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 2

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1972544583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 8TH ST",
            "city": "ONAGA",
            "state": "KS",
            "postal_code": "665219574",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 8TH ST",
            "city": "ONAGA",
            "state": "KS",
            "postal_code": "665219574",
            "telephone_number": "785-889-4274",
            "fax_number": "785-889-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 S Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Marys",
            "state": "KS",
            "postal_code": "665361637",
            "country_code": "US",
            "telephone_number": "785-437-3734",
            "fax_number": "785-437-6186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Onaga",
            "state": "KS",
            "postal_code": "665219574",
            "country_code": "US",
            "telephone_number": "785-889-5039",
            "fax_number": "785-889-4270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1603 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Holton",
            "state": "KS",
            "postal_code": "664361153",
            "country_code": "US",
            "telephone_number": "785-364-3205",
            "fax_number": "785-364-3468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANCELADA",
        "first_name": "DAVID",
        "middle_name": "ADRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MO",
            "license": "R5P90",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-31386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chdcancelada@chcsks.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "114 W 8th St",
            "city": "Onaga",
            "state": "KS",
            "country_code": "US",
            "postal_code": "665219574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Onaga, KS

Sources for this page

Verify at the official NPI Registry.