DR. MARK LAWRENCE CANNON (MD) – Infectious Disease Physician, NPI 1881805265

DR. MARK LAWRENCE CANNON (MD) is a healthcare provider. based in Burr ridge, Illinois. specializing in INFECTIOUS DISEASE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 206201 (NY). The NPI Number for DR. MARK LAWRENCE CANNON (MD) is 1881805265

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK LAWRENCE CANNON (MD)
NPI
1881805265
Phone
(888) 220-6432
Address
901 MCCLINTOCK DRIVE
Enumeration Date
25 May 2007
Last Update Date
18 April 2023

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7635205200
Graduation Year
1993 (33 years ago)
PAC ID
4587747522
Group Practice PAC ID
0042123028
Professional Enrollment ID
I20080213000593
Address ID
MN554222948RO3366XNXXX400

Contacts

Secure Messaging
mark.cannon@meg.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

339 INFECTIOUS DISEASE in MI

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Provider Addresses for DR. MARK LAWRENCE CANNON (MD)

  • McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60521, United States

    SUITE 202

    BURR RIDGE, IL 605270844

    Phone: (888) 220-6432

    Fax: (630) 734-4715

    Type: Mailing

  • West Auburn Road, Rochester Hills, Oakland County, Michigan, 48309, United States

    SUITE 200

    ROCHESTER HILLS, MI 483093868

    Phone: (248) 853-2323

    Fax: (248) 853-8890

    Type: Location

  • 3300 OAKDALE AVE N

    ROBBINSDALE, MN 554222926

    Phone: (763) 520-5200

    Fax: (763) 581-6401

    Type: Mailing

  • 3366 OAKDALE AVE N

    ROBBINSDALE, MN 554222948

    Phone: (763) 520-5200

    Fax: (763) 581-6401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-13

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080213000593IInfectious DiseaseMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7943$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5022$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4643$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1514$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042123028View full group profile

Reviews

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Frequently asked questions

How do I look up DR. MARK LAWRENCE CANNON (MD) by NPI?
Use NPI 1881805265 when you need to reference DR. MARK LAWRENCE CANNON (MD) in forms, claims, or directories.
Is DR. MARK LAWRENCE CANNON (MD) active in the national directory?
DR. MARK LAWRENCE CANNON (MD)'s public NPI profile is in an active state.
What kind of provider is DR. MARK LAWRENCE CANNON (MD)?
The page reflects Infectious Disease Physician for DR. MARK LAWRENCE CANNON (MD). Clinical services aligned with this taxonomy classification.
Does DR. MARK LAWRENCE CANNON (MD) practice in Illinois?
You will see Burr Ridge, Illinois on file for DR. MARK LAWRENCE CANNON (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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