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DR. JASON ANDREW CANNER D.O.
NPI 1659566388
Pediatrics - Pediatric Hematology-Oncology in Oak Lawn, IL

Active since September 06, 2007PECOS Enrolled
4440 W 95TH ST, OAK LAWN, IL 60453(708) 684-4094(708) 684-5141 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, Apr 20, 2022, Jul 10, 2018 (3 updates tracked since 2018).

About Dr. Jason Andrew Canner D.o. NPPES

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

DR. JASON ANDREW CANNER D.O. (NPI 1659566388) is an individual pediatric hematology-oncology provider in Oak Lawn, Illinois, licensed in Illinois (036-120414) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in El Paso, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2002).

NPPES Registry Identity

NPI1659566388
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameDR. JASON ANDREW CANNERCredential: D.O.
Location Address4440 W 95TH STOak Lawn, IL 60453
Mailing Address4440 W 95th StOak Lawn, IL 60453-2600 · (708) 684-4094 · Fax (708) 684-5141
Phone(708) 684-4094
Fax(708) 684-5141
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2002
Enumeration DateSeptember 6, 2007
Last NPPES UpdateJune 3, 20263 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1659566388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
Licenses✔ Licensed in IL · 036-120414✔ Licensed in TX · T4622✔ Licensed in OH · 34008593
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
4440 W 95TH ST, Oak Lawn, IL 60453
Open in Google Maps ↗

Secondary Practice Location 1

Location 14845 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 298-5444

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)

Dr. Jason Andrew Canner D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID143408518
PECOS Enrollment IDI20260611003995
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

5

Medicare enrollment records show Jason Canner reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advocate Health & Hospitals Corporation
Same address
Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1912936014 (847) 390-5900
Central Dupage Physician Group
20 mi
Family Medicine
5777 DEPARTMENT
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 1,664 clinicians in this Medicare group
NPI 1033149844 (630) 933-3300
Spectrum Health Hospitals
136 mi
Hospitalist
100 MICHIGAN ST NE, MC-907
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 405 clinicians in this Medicare group
NPI 1558407189 (616) 774-7377
University Hospitals Medical Group Inc
318 mi
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000
El Paso Children's Physician Group
1,240 mi
Specialist
5400 ALAMEDA AVE BLDG B
El Paso, TX 79905
  • Reassigned Medicare billing, Texas enrollment
  • 59 clinicians in this Medicare group
NPI 1992067128 (915) 242-8402

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.

DR. MARK ADRIAN FAASSE MD
Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-4557
DR. MANDY LUMA ENSHIWAT M.D.
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-8000
DR. KIM MARIE MIILLER MA, PSYD
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-7482
JENNIFER MARSIGLIO
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5425
TRACI LYNN TAGUE MA, CCC-SLP
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-1989
ELIZABETH A FOLLIARD OTR/L
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5369
MICHAEL CIRONE M.D.
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 684-5375
ANNA MANILLA
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Cook County (248) 701-7523

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 Jason Canner's NPI number?

The NPI number for Jason Canner is 1659566388. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Jason Canner located?

Jason Canner practices at 4440 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 684-4094.

What is Jason Canner's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Jason Canner enrolled in Medicare?

Yes. Jason Canner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Canner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Canner reassigns Medicare benefits to 5 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL), Central Dupage Physician Group (Carol Stream, IL), Spectrum Health Hospitals (Grand Rapids, MI), University Hospitals Medical Group Inc (Cleveland, OH) and El Paso Children's Physician Group (El Paso, 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 Jason Canner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Canner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and Ambetter from Louisiana Healthcare Connections and 4 other insurers list Jason Canner 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 Jason Canner was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.