KENDALL CANNON MD
NPI 1366011678
Pediatrics in Cedar Park, TX
About Kendall Cannon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDALL CANNON MD (NPI 1366011678) is an individual pediatrics provider in Cedar Park, Texas, licensed in Texas (U8962) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kendall Cannon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kendall Cannon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78613 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kendall Cannon's NPI number?
The NPI number for Kendall Cannon is 1366011678. It was assigned to this individual provider in the NPPES registry on June 21, 2021.
Where is Kendall Cannon located?
Kendall Cannon practices at 13625 Ronald W Reagan Blvd Bldg 6, Cedar Park, TX 78613. The listed phone number is (512) 336-2777.
What is Kendall Cannon's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kendall Cannon enrolled in Medicare?
Yes. Kendall Cannon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kendall Cannon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendall Cannon reassigns Medicare benefits to Austin Health Partners PLLC (Cedar Park, TX). The 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 Kendall Cannon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kendall Cannon 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 and 6 other insurers list Kendall Cannon 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 Kendall Cannon was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kendall Cannon, MD · NPI 1366011678
Pediatrics physician in Cedar Park, Texas. Individual provider, active in the CMS NPPES registry since June 21, 2021.
## Identity
- **NPI:** 1366011678 (Entity type: Individual)
- **Enumerated:** June 21, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** U8962 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 13625 RONALD W REAGAN BLVD BLDG 6, Cedar Park, TX 78613-2073
- **Phone:** (512) 336-2777
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Austin Health Partners PLLC (NPI 1144724261, Cedar Park, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1366011678) · Data from the CMS NPPES public registry.