Active NPI
Michael Cannon, DPM
- Foot & Ankle Surgery Podiatrist
- Crystal City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 2169
- Practice address
- 402 E Zavala St
Crystal City, TX 78839-3337 - Phone
- (720) 252-7546
- NPI assigned
- Apr 9, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2169 | TX | Primary |
| Podiatrist | 213E00000X | 2169 | TX |
Addresses
Primary practice location
402 E Zavala St
Crystal City, TX 78839-3337
Mailing address
402 E Zavala St Ste 3
Crystal City, TX 78839-3337
Phone (830) 448-5188
Other practice location 1
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852-5893
Phone (830) 773-5321
Other practice location 2
801 N Bedell Ave Ste 3
Del Rio, TX 78840-4112
Phone (830) 768-9200 ext. 7005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3520348-01 | Medicaid | TX |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150925001446 | TX | Practitioner - Podiatry | 4880902782 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2169 | TX | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Centers | Multi-Specialty | Current | Accepting new patients |
| Val Verde Hospital Corporation | Multi-Specialty | Current | Accepting new patients |
| Val Verde Hospital Corporation | Current | Accepting new patients | |
| Maverick County Hospital District | Multi-Specialty | Current | Accepting new patients |
| Maverick County Hospital District | Current | Accepting new patients | |
| United Medical Centers | Multi-Specialty | Current | Accepting new patients |
| Val Verde Hospital Corporation | Multi-Specialty | Current | Accepting new patients |
| Alfonso H Luevano MD P a | Multi-Specialty | Past | Accepting new patients |
| Val Verde Hospital Corporation | Multi-Specialty | Past | Accepting new patients |
Locations
801 N Bedell Ave
Ste 3
Del Rio, TX 78840
Phone 8307689200 ext. 7005
1801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-9200
801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702
3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321
3406 Bob Rogers Dr
Eagle Pass, TX 78852
4018 El Indio Hwy
Eagle Pass, TX 78852
Phone (830) 776-8917
2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358
3406 Bob Rogers Dr
Ste 120
Eagle Pass, TX 78852
Phone (830) 757-4570
Interoperability endpoints
- michael.cannon@mchd.eclinicaldirectplus.com
Organizations & group practices 22
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.
-
- Certified Registered Nurse Anesthetist
- Del Rio, TX
- NPI 1639239239
Multi-Specialty, TX
-
- Federally Qualified Health Center (FQHC)
- Eagle Pass, TX
- NPI 1710980669
Multi-Specialty, TX
-
- Skilled Nursing Facility
- Laredo, TX
- NPI 1881425122
-
- Rural Health Clinic/Center
- Del Rio, TX
- NPI 1093546590
-
- Rural Health Clinic/Center
- Del Rio, TX
- NPI 1891124640
Multi-Specialty
-
- Skilled Nursing Facility
- Lockhart, TX
- NPI 1063006971
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1063144996
-
- Skilled Nursing Facility
- Pasadena, TX
- NPI 1275405516
-
- Skilled Nursing Facility
- Hurst, TX
- NPI 1407440316
-
- Skilled Nursing Facility
- Grapevine, TX
- NPI 1649932310
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Maverick County Hospital DistrictVal Verde Hospital Corporation
Practice addresses (Care Compare)
3406 Bob Rogers Dr
Suite 120
Eagle Pass, TX 78852-5942
Phone (830) 757-4900
402 E Zavala St
Crystal City, TX 78839-3337
Phone (720) 252-7546
801 N Bedell Ave
Val Verde Health
Del Rio, TX 78840-4112
Phone (830) 768-9207
Hospital & facility affiliations
- Val Verde Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 91.68
- Improvement activities
- 40
- Cost
- 83.24
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 36 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1922494673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 E ZAVALA ST STE 3",
"city": "CRYSTAL CITY",
"state": "TX",
"postal_code": "788393337",
"telephone_number": "830-448-5188",
"fax_number": "830-768-9248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 E ZAVALA ST",
"city": "CRYSTAL CITY",
"state": "TX",
"postal_code": "788393337",
"telephone_number": "720-252-7546"
}
],
"practiceLocations": [
{
"address_1": "3333 N Foster Maldonado Blvd",
"address_purpose": "LOCATION",
"city": "Eagle Pass",
"state": "TX",
"postal_code": "788525893",
"country_code": "US",
"telephone_number": "830-773-5321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 N Bedell Ave Ste 3",
"address_purpose": "LOCATION",
"city": "Del Rio",
"state": "TX",
"postal_code": "788404112",
"country_code": "US",
"telephone_number": "830-768-9200 x7005",
"fax_number": "830-768-9248",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANNON",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-09",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "TX",
"license": "2169",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "TX",
"license": "2169",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3520348-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crystal City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.