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PETER CANNAMELA
NPI 1104455815
Orthopaedic Surgery - Orthopaedic Trauma in Dallas, TX

Active since April 04, 2020PECOS Enrolled
5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 648-3111 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2025, Apr 4, 2020 (2 updates tracked since 2020).

About Peter Cannamela NPPES

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

PETER CANNAMELA (NPI 1104455815) is an individual orthopaedic trauma provider in Dallas, Texas, licensed in Colorado (DR.0075273) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1104455815
Entity TypeIndividualMale
Primary Taxonomy207XX0801X
Provider Legal NamePETER CANNAMELA
Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201
Mailing Address5323 Harry Hines BlvdDallas, TX 75390-7201
Phone(214) 648-3111
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 4, 2020
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1104455815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic TraumaAllopathic & Osteopathic Physicians
Taxonomy Code207XX0801X
License✔ Licensed in CO · DR.0075273
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5323 HARRY HINES BLVD, Dallas, TX 75390
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Cannamela is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294233680
PECOS Enrollment IDI20260814001265
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

2

Medicare enrollment records show Peter Cannamela reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
Same address
Nurse Anesthetist, Certified Registered
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1114992161 (214) 648-5460
Healthone Clinic Services Orthopedic Specialists LLC
669 mi
Orthopaedic Surgery
11230 BENTON ST
Westminster, CO 80020
  • Reassigned Medicare billing, Colorado enrollment
  • 54 clinicians in this Medicare group
NPI 1245556091 (303) 453-2997

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.

MRS. TANYA MARIE PLETIN PA-C
Physician Assistant
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-6400
BENJAMIN SETH MARTINEZ MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3111
LEE M. LUNSFORD MD
Anesthesiology
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-8000
TING-YI CHEN M.D.
Internal Medicine (Infectious Disease)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-2800
DR. STEPHANIE C JONES MD
Pain Medicine (Interventional Pain Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-9374
DR. KATHERINE ANNA JOHNSON MD
Pediatrics
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 456-0771
ALEX KOYFMAN M.D.
Emergency Medicine
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 645-0624
MR. JAWAHAR JAGARAPU M.D
Pediatrics (Neonatal-Perinatal Medicine)
5323 HARRY HINES BLVD
DALLAS, TX 75390
Dallas County (214) 648-3903

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 Peter Cannamela's NPI number?

The NPI number for Peter Cannamela is 1104455815. It was assigned to this individual provider in the NPPES registry on April 4, 2020.

Where is Peter Cannamela located?

Peter Cannamela practices at 5323 Harry Hines Blvd, Dallas, TX 75390. The listed phone number is (214) 648-3111.

What is Peter Cannamela's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Trauma, with taxonomy code 207XX0801X.

Is Peter Cannamela enrolled in Medicare?

Yes. Peter Cannamela is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Cannamela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Cannamela reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Healthone Clinic Services Orthopedic Specialists LLC (Westminster, CO). 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 Peter Cannamela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Cannamela accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Peter Cannamela 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 Peter Cannamela was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.