NPIMap

Individual provider Active NPI

Michael Cannon, M.D.

  • Specialist
  • Virginia Beach, VA
National Provider Identifier
1215925599
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101229742 Issued in VA
Practice address
933 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-3172
Phone
(757) 491-7359
Fax
(757) 491-9359
NPI assigned
Oct 11, 2005
Last updated
Nov 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101229742 VA Primary

Addresses

Primary practice location

933 First Colonial Rd
Suite 100
Virginia Beach, VA 23454-3172

Mailing address

700 Battlefield Blvd N
Ste a
Chesapeake, VA 23320-4952
Phone (757) 491-7359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050610000638 VA Practitioner - RheumatologyPractitioner - Internal Medicine 2264476209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Kentucky College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Arthritis Consultants of TidewaterGroup PAC ID 6103860143, 5 clinicians

Practice addresses (Care Compare)

1401 N High St
Franklin, VA 23851-1244
Phone (757) 516-8130

933 1St Colonial Rd
Suite 100
Virginia Beach, VA 23454-3172
Phone (757) 491-7359

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
92.77
Improvement activities
40
Cost
83.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Consultants of Tidewater Specialist CurrentSince Jul 18, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

700 Battlefield Blvd N
Ste A
Chesapeake, VA 23320
Phone (757) 547-1686

933 First Colonial Rd
Ste 100
Virginia Beach, VA 23454
Phone (757) 409-0648

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: michael.cannon.p1@direct.act.nextgenshare.com

Organizations & group practices 2

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 6

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1215925599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BATTLEFIELD BLVD N",
            "address_2": "STE A",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204952",
            "telephone_number": "757-491-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-491-7359",
            "fax_number": "757-491-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101229742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.