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STEPHEN JAMES CANON M.D.
NPI 1033277108
Urology - Pediatric Urology in Little Rock, AR

Active since December 04, 2006PECOS EnrolledAccepts Medicare Assignment
1 CHILDRENS WAY # 653, LITTLE ROCK, AR 72202(501) 364-1100(501) 364-3960 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephen James Canon M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN JAMES CANON M.D. (NPI 1033277108) is an individual pediatric urology provider in Little Rock, Arkansas, licensed in Arkansas (E-6307) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical Branch At Galveston (1999).

NPPES Registry Identity

NPI1033277108
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameSTEPHEN JAMES CANONCredential: M.D.
Location Address1 CHILDRENS WAY # 653Little Rock, AR 72202-3500
Mailing Address1 Childrens Way # 653Little Rock, AR 72202-3500 · (501) 364-1100 · Fax (501) 364-3960
Phone(501) 364-1100
Fax(501) 364-3960
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1999
Enumeration DateDecember 4, 2006
Last NPPES UpdateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1033277108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in AR · E-6307✔ Licensed in OH · 86246✔ Licensed in TX · M5656
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
1 CHILDRENS WAY # 653, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephen James Canon M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688775414
PECOS Enrollment IDI20070724000527
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Stephen Canon reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arkansas Childrens Hospital
Same address
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526
Arkansas Children's Medical Group PLLC
Same address
Pediatrics
1 CHILDRENS WAY # 844
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • Medicare enrollment name: Arkansas Childrens Medical Group PLLC
  • 36 clinicians in this Medicare group
NPI 1396274841 (501) 364-2090
University Of Arkansas For Medical Sciences
3.2 mi
Family Medicine
1401 W CAPITOL AVE
Little Rock, AR 72201
  • Reassigned Medicare billing, Arkansas enrollment
  • Also billed through NPI 1114255353 (Arkansas)
  • 2,038 clinicians in this Medicare group
NPI 1932872975 (501) 686-8000
Texas Children's Physician Group
393 mi
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
NPI 1861675506 (832) 824-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADRIENNE MARIE KODER
Orthopaedic Surgery
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
HEATHER LYNN YOUNG MD
Pediatrics (Pediatric Infectious Diseases)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. GLENDA MARIE ECKERT APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
AMBRE' LACHELLE POWNALL APN, PNP-BC
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ANITA JEAN BUELL-SANDERS
Nurse Practitioner (Acute Care)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-3620
VIKAS CHOWDHARY M.D.
Pediatrics
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
MRS. JOY ANGELA CHILDRESS APN
Nurse Practitioner (Pediatrics)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. MAX SAMUEL SHILLING MD
Anesthesiology (Pediatric Anesthesiology)
1 CHILDRENS WAY # 653
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Canon's NPI number?

The NPI number for Stephen Canon is 1033277108. It was assigned to this individual provider in the NPPES registry on December 4, 2006.

Where is Stephen Canon located?

Stephen Canon practices at 1 Childrens Way # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Stephen Canon's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Stephen Canon enrolled in Medicare?

Yes. Stephen Canon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephen Canon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Canon reassigns Medicare benefits to 4 organizations: Arkansas Childrens Hospital (Little Rock, AR), Arkansas Children's Medical Group PLLC (Little Rock, AR), University Of Arkansas For Medical Sciences (Little Rock, AR) and Texas Children's Physician Group (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Canon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephen Canon accept?

Health plans from Moda Health Plan, Inc. list Stephen Canon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephen Canon was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.