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Dr. Kendall Cannon , MD

Pediatrics β€’ Cedar Park, TX

Active NPI 1366011678 Individual Practitioner Female Practitioner
Practice location in NPPES

13625 Ronald W Reagan Blvd Bldg 6
Cedar Park, TX 786132073

Call 5123362777 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13625 Ronald W Reagan Blvd Bldg 6

Cedar Park, TX 786132073

Telephone 5123362777
Organization at the Same NPPES Address or Phone
Cedar Park Pediatric And Family Medicine Facility NPI 1073644423

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Cannon has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Cannon as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cedar Park and Texas

37 active clinicians are listed under Pediatrics with a practice address in Cedar Park, TX (5,661 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cedar Park

0% of these 37 clinicians have the CMS telehealth indicator.

10.8% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES TX U8962

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20240906002171

Enrollment State Jurisdiction

TX

PECOS Control ID

0143760009

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

8 listed
Kaitlyn Fischer

Physician Assistant

NPI 1346960580
Shawn Hart , FNP-C

Nurse Practitioner - Family

NPI 1851586424

Family Nurse Practitioner (Certified)

Ashley Hollister , APRN, FNP-C

Nurse Practitioner - Family

NPI 1104266162

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Andrew Kester

Nurse Practitioner

NPI 1619488053
Dr. Cameron King , MD

Family Medicine

NPI 1457338436

Doctor of Medicine (M.D.)

Monica Lane , FNP-BC

Nurse Practitioner

NPI 1033417266

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location August 21, 2024

Registered at 13625 RONALD W REAGAN BLVD BLDG 6, CEDAR PARK, TX 786132073 (Tel: 5123362777)

πŸ“
Updated Business Mailing Address August 21, 2024

Registered at 13625 RONALD W REAGAN BLVD BLDG 6, CEDAR PARK, TX 786132073 (Tel: 5123362777)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2024

Pediatrics (license number reported to NPPES: TX U8962)

βœ…
NPI Profile Active June 21, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2021

Registered at 3533 S ALAMEDA ST, CORPUS CHRISTI, TX 784111721 (Tel: 3616945465)

πŸ“
Business Mailing Address (Initial Record) June 21, 2021

Registered at 3533 S ALAMEDA ST, CORPUS CHRISTI, TX 784111721

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2021

Recorded as KENDALL CANNON, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 21, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366011678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: August 21, 2024
Sole Proprietor: No

Other Pediatrics Specialists in Cedar Park

Healthcare providers in Cedar Park

Mailing Address

13625 Ronald W Reagan Blvd Bldg 6

Cedar Park, TX 786132073

Phone: 5123362777

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.