Individual provider Active NPI

Russell M. Canham, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Dallas, TX
National Provider Identifier
1629288246
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
M2274 Issued in TX
Practice address
3650 W. Wheatland Rd.
Suite C
Dallas, TX 75237-1259
Phone
(214) 774-9771
Fax
(214) 774-9762
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X M2274 TX Primary
Cardiovascular Disease Physician 207RC0000X M2274 TX

Addresses

Primary practice location

3650 W. Wheatland Rd.
Suite C
Dallas, TX 75237-1259

Mailing address

13101 Preston Rd # 110-423
Dallas, TX 75240-5237
Phone (214) 774-9771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20101123000205 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 7618163171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
University of Texas Medical School at Houston, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3650 W Wheatland Rd C
Dallas, TX 75237-4409
Phone (214) 774-9771

8440 Walnut Hill LN
Suite 400
Dallas, TX 75231-3879
Phone (214) 361-9535

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462
  • Methodist Charlton Medical Center Hospital, Dallas, TX, CCN 450723

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Cardiovascular Disease CurrentSince Oct 1, 2025 Accepting new patients
Advanced Heart and Rhythm, PLLC Cardiovascular Disease CurrentSince Sep 27, 2014 Accepting new patients
Cardiac Imaging Inc CurrentSince Aug 4, 2017 Accepting new patients
Texas Health Physicians Group CurrentSince Oct 1, 2025 Accepting new patients
Texas Health Physicians Group Cardiovascular Disease Past Accepting new patients

Locations

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

8440 Walnut Hill Ln
Ste 400B4
Dallas, TX 75231

13101 Preston Rd
#110423
Dallas, TX 75240

3650 W Wheatland Rd
Ste C
Dallas, TX 75237
Phone (214) 774-9771

8440 Walnut Hill Ln
Ste 400
Dallas, TX 75231
Phone (214) 345-1400

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: rcanham2680576@direct.texashealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1629288246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 PRESTON RD # 110-423",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405237",
            "telephone_number": "214-774-9771",
            "fax_number": "214-774-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W. WHEATLAND RD.",
            "address_2": "SUITE C",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752371259",
            "telephone_number": "214-774-9771",
            "fax_number": "214-774-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANHAM",
        "first_name": "RUSSELL",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "M2274",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M2274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.