DR. GRANT WILSON CANNON M.D.
NPI 1942239439
Internal Medicine - Rheumatology in Salt Lake City, UT

Active since June 30, 2006PECOS Enrolled
VAMC (11E), 500 FOOTHILL BOULEVARD, SALT LAKE CITY, UT 84148(801) 582-1565(801) 584-1277 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Grant Wilson Cannon M.d. NPPES

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

DR. GRANT WILSON CANNON M.D. (NPI 1942239439) is an individual rheumatology provider in Salt Lake City, Utah, licensed in Utah (165454-1205) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942239439
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. GRANT WILSON CANNONCredential: M.D.
Location AddressVAMC (11E), 500 FOOTHILL BOULEVARDSalt Lake City, UT 84148-0001
Mailing AddressVamc (11e), 500 Foothill BoulevardSalt Lake City, UT 84148-0001 · (801) 582-1565 · Fax (801) 584-1277
Fax(801) 584-1277
Sole ProprietorNo
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1942239439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in UT · 165454-1205
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
VAMC (11E), Salt Lake City, UT 84148

Other Identifiers 1

Medicare UPIND20281UT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Grant Wilson Cannon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84148 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Grant Cannon's NPI number?

The NPI number for Grant Cannon is 1942239439. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Grant Cannon located?

Grant Cannon practices at Vamc (11e) 500 Foothill Boulevard, Salt Lake City, UT 84148. The listed phone number is (801) 582-1565.

What is Grant Cannon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Grant Cannon enrolled in Medicare?

Yes. Grant Cannon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Cannon was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.