Individual provider Active NPI

Michael Todd Cannon, DO

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1124080106
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4284 Issued in OK
Practice address
744 W 9TH St
Tulsa, OK 74127-9907
Phone
(918) 561-5720
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4284 OK Primary

Addresses

Primary practice location

744 W 9TH St
Tulsa, OK 74127-9907

Mailing address

11820 N 177TH East Ave
Collinsville, OK 74021-5149
Phone (918) 688-4762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051107000052 OK Practitioner - Emergency Medicine 9032140413 Reassigns benefits to 3 organizations
I20150106001185 TX Practitioner - Emergency Medicine 9032140413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701

Hospital & facility affiliations

  • Oklahoma State University Medical Center Hospital, Tulsa, OK, CCN 370078
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
  • Claremore Indian Hospital Hospital, Claremore, OK, CCN 370173

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4284OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McAlester Regional Health Center Authority CurrentSince Apr 9, 2024 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Oklahoma State University Current Accepting new patients
Cherokee Nation Current Accepting new patients
Oklahoma State University Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Cherokee Nation CurrentSince Dec 15, 2025 Accepting new patients
Cherokee Nation CurrentSince Dec 15, 2025 Accepting new patients
Oklahoma State University CurrentSince Jan 1, 2024 Accepting new patients
Cherokee Nation Current Accepting new patients
Norstar Emergency Physicians Past Accepting new patients
Lightstar Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients

Locations

101 S Moore Ave
Claremore, OK 74017
Phone (918) 342-6200

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

Dept 2269
Tulsa, OK 74182

Dept 2563
Tulsa, OK 74182

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

Interoperability endpoints

  • Direct secure messaging: tcannon325795@ahs.direct-ci.com
  • Direct secure messaging: michael.todd.cannon.1@23846.direct.athenahealth.com
  • Direct secure messaging: mcannon211372@direct.saintfrancis.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1124080106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 N 177TH EAST AVE",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740215149",
            "telephone_number": "918-688-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 W 9TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279907",
            "telephone_number": "918-561-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.