| NPI | 1407896749 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-06-07 |
| Last Updated | 2025-09-10 |
| Mailing Address | 3841 Green Hills Village Dr Ste 200 Nashville, TN 37215-2691 United States 📍 View Map |
| Primary Practice Address | 3601 The Vanderbilt Clinic Nashville, TN 37232-0001 United States Phone: (615) 322-5000 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TN | 12079668 | MultiPlan/PHCS |
| MEDICAID | TN | 1510158 | - |
| MEDICAID | TN | 1510392 | - |
| Other (non-Medicare) | TN | 258288 | USA MCO |
| Other (non-Medicare) | TN | 290013543 | Medicare RR |
| Other (non-Medicare) | TN | 3164295 | Blue Cross of TN |
| Other (non-Medicare) | TN | 5541480 | Cigna |
| MEDICAID | KY | 64916679 | - |
| Other (non-Medicare) | TN | 982568 | United Healthcare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RC0200X – Internal Medicine, Critical Care Medicine | TN | 19712 |
| No | 207RP1001X – Internal Medicine, Pulmonary Disease | TN | 19712 |
| No | 207R00000X – Internal Medicine | TN | 019712 |
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About NPI 1407896749
Angelo E. Canonico M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1407896749. The primary specialty listed is Internal Medicine, Critical Care Medicine. The provider is located in Nashville, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1407896749?
NPI 1407896749 belongs to Angelo E. Canonico M.D., a Internal Medicine, Critical Care Medicine in Nashville, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1407896749 active?
The current status of NPI 1407896749 in the NPPES registry is Active. The record was last updated on 2025-09-10.
What specialty is NPI 1407896749?
NPI 1407896749 is classified under the taxonomy Internal Medicine, Critical Care Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1407896749?
You can verify NPI 1407896749 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1407896749?
The primary practice address on file for NPI 1407896749 is 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1407896749 issued?
NPI 1407896749 was first issued (enumerated) on 2006-06-07. The NPPES record was last updated on 2025-09-10.
Practice Location Map
Angelo E. Canonico is located at 3601 The Vanderbilt Clinic, Nashville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Angelo E. Canonico. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1407896749. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Critical Care Medicine | 19712 | TN |
| Internal Medicine, Pulmonary Disease | 19712 | TN |
| Internal Medicine | 019712 | TN |