Individual provider Active NPI

Michael Cannon, DPM

  • Foot & Ankle Surgery Podiatrist
  • Crystal City, TX
National Provider Identifier
1922494673
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2169 Issued in TX
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

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 2169 TX Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
3520348-01MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150925001446 TX Practitioner - Podiatry 4880902782 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2169TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Centers Multi-Specialty CurrentSince Jul 30, 2015 Accepting new patients
Val Verde Hospital Corporation Multi-Specialty CurrentSince May 22, 2024 Accepting new patients
Val Verde Hospital Corporation CurrentSince May 22, 2024 Accepting new patients
Maverick County Hospital District Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Maverick County Hospital District CurrentSince Jun 1, 2021 Accepting new patients
United Medical Centers Multi-Specialty CurrentSince Jul 30, 2015 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

  • Direct secure messaging: 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.

View all 22

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 District 23 clinicians
Val Verde Hospital Corporation 39 clinicians

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 Hospital, Del Rio, TX, CCN 450154

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91.68
Improvement activities
40
Cost
83.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue36

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

Verify at the official NPI Registry.