Michael E Cannon, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

059297 Issued in MI

Practice address

264 W Maple Rd
#200
Troy, MI 48084-5435

Phone

(248) 273-9930

Fax

(248) 273-9931

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Merit-based Incentive Payment System (MIPS)

Final score

96.26 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

83.02

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Gastrointestinal Specialists PC

  • Gastroenterology Physician
  • Troy, MI
  • NPI 1780750125
  Medicare reassignment NPD
• Essential Anesthesia Services, PLC

  • Certified Registered Nurse Anesthetist
  • Troy, MI
  • NPI 1932482098
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1184613879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 W MAPLE RD STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845458",
            "telephone_number": "248-273-9930",
            "fax_number": "248-273-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 W MAPLE RD",
            "address_2": "#200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480845435",
            "telephone_number": "248-273-9930",
            "fax_number": "248-273-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "059297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3439637",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynne Marie Campbell, L.P.C
• Reavonne S Campbell, LPN
• Kirstyn Canady
• Sarah Cancel
• Cancer Counseling, L.L.C.
• Gabriella Cantore
• Albert L. Capili, D.O.
• David Caponi, LMSW
• Michael Joseph Louis Caporuscio, PA-C
• Gerardo B. Carbonell, PT, DPT

• Gastroenterology Physician in Troy, MI
• Providers in Troy, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.