MICHAEL ROCCO CANIGLIA DO
NPI 1376033605
Hospitalist in Joplin, MO

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
1031 MCINTOSH CIR, JOPLIN, MO 64804(417) 347-5665 Get Directions Write a Review

NPPES record last updated: June 9, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 9, 2021, May 11, 2018 (2 updates tracked since 2018).

About Michael Rocco Caniglia Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ROCCO CANIGLIA DO (NPI 1376033605) is an individual hospitalist provider in Joplin, Missouri, licensed in Missouri (2021006316) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2018).

NPPES Registry Identity

NPI1376033605
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameMICHAEL ROCCO CANIGLIACredential: DO
Location Address1031 MCINTOSH CIRJoplin, MO 64804-3643
Mailing AddressPo Box 3810Joplin, MO 64803-3810 · (417) 347-4570 · Fax (417) 347-6755
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2018
Enumeration DateMay 11, 2018
Last NPPES UpdateJune 9, 20212 updates tracked since enumeration
NPPES CertifiedJune 9, 2021
✔ NPI 1376033605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MO · 2021006316
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1031 MCINTOSH CIR, Joplin, MO 64804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Rocco Caniglia Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305248550
PECOS Enrollment IDI20220622002726
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Michael Caniglia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Care Medicine
1000 W BOISE CIR
Broken Arrow, OK 74012
  • Reassigned Medicare billing, Oklahoma enrollment
  • 48 clinicians in this Medicare group
Internal Medicine
1120 S UTICA AVE
Tulsa, OK 74104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 210 clinicians in this Medicare group
Emergency Medicine
6161 S YALE AVE
Tulsa, OK 74136
  • Reassigned Medicare billing, Oklahoma enrollment
  • 300 clinicians in this Medicare group
Internal Medicine
18951 N MEMORIAL DR
Humble, TX 77338
  • Reassigned Medicare billing, Oklahoma enrollment
  • 284 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
242 services120 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
227 services101 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
89 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
65 services64 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers26 claims26 services$18.86 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier18 claims18 services$919.87 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers38 claims38 services$105.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
1031 MCINTOSH CIR
JOPLIN, MO 64804
Family Medicine
1031 MCINTOSH CIR
JOPLIN, MO 64804
Emergency Medicine
1031 MCINTOSH CIR
JOPLIN, MO 64804
Emergency Medicine
1031 MCINTOSH CIR
JOPLIN, MO 64804
Emergency Medicine
1031 MCINTOSH CIR
JOPLIN, MO 64804
Student in an Organized Health Care Education/Training Program
1031 MCINTOSH CIR
JOPLIN, MO 64804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Caniglia's NPI number?

The NPI number for Michael Caniglia is 1376033605. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Michael Caniglia located?

Michael Caniglia practices at 1031 Mcintosh Cir, Joplin, MO 64804. The listed phone number is (417) 347-5665.

What is Michael Caniglia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Michael Caniglia enrolled in Medicare?

Yes. Michael Caniglia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Caniglia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Caniglia reassigns Medicare benefits to 4 organizations: Usacs Critical Care Medicine Of Oklahoma, LLC (Broken Arrow, OK), Tulsa Hospital Medicine Physicians Group, LLC (Tulsa, OK), Usacs Observation Medicine Services Of Oklahoma, LLC (Tulsa, OK) and Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Caniglia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Caniglia affiliated with any hospitals?

According to CMS data, Michael Caniglia is affiliated with Ascension St John Jane Phillips and Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Caniglia was last updated on June 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.