CANON CROFT CORNELIUS (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1750842357

CANON CROFT CORNELIUS (MD) is a healthcare provider. based in Houston, Texas. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. U9238 (TX). The NPI Number for CANON CROFT CORNELIUS (MD) is 1750842357

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
CANON CROFT CORNELIUS (MD)
NPI
1750842357
Phone
(713) 486-7500
Address
6400 FANNIN ST STE 1700
Enumeration Date
26 March 2019
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
3257933411
Graduation Year
2019 (7 years ago)
PAC ID
9234571787
Group Practice PAC ID
2860301215
Professional Enrollment ID
I20250617002482
Address ID
TX796054603AB4601XSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:7State licenses:1Digital endpointsOther names

2,187 ORTHOPEDIC SURGERY in TX

Loading map...

Provider Addresses for CANON CROFT CORNELIUS (MD)

  • Fannin Street, Texas Medical Center, Houston, Harris County, Texas, 77030, United States

    HOUSTON, TX 770301526

    Phone: (713) 486-7500

    Fax: (713) 512-7240

    Type: Mailing

  • 6400 Fannin St Ste 1700

    Houston, TX 770301526

    Phone: (713) 486-7500

    Fax: (713) 512-7240

    Type: Location

  • 3800 Gaylord Pkwy Ste 710

    Frisco, TX 750349635

    Phone: (214) 220-2468

    Fax: (214) 720-1982

    Type: Location

  • 4700 SETON CENTER PKWY STE 115

    AUSTIN, TX 787595753

    Phone: (346) 440-0645

    Fax: (346) 478-0182

    Type: Mailing

  • 9301 N CENTRAL EXPY STE 500

    DALLAS, TX 752310805

    Phone: (214) 220-2468

    Fax: (469) 232-9738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2025-06-17

PECOS data refreshed: 2026-05-27

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
I20250617002482IOrthopedic SurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77030)

Loading plans...

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: 2860301215View full group profile
NameSpecialtyState
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
-TX
Family PracticeTX
N E U R O S U R G E R YTX
Endocrinology, Internal MedicineTX
Neurology, Sleep MedicineTX
Nurse PractitionerTX
P O D I A T R YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for CANON CROFT CORNELIUS (MD)?
The registry entry for CANON CROFT CORNELIUS (MD) shows NPI 1750842357.
Quick check: is CANON CROFT CORNELIUS (MD) active?
Public NPPES data shows CANON CROFT CORNELIUS (MD) with an active NPI status right now.
What type of care does CANON CROFT CORNELIUS (MD) provide?
CANON CROFT CORNELIUS (MD)'s profile centers on Orthopaedic Foot and Ankle Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to CANON CROFT CORNELIUS (MD)?
CANON CROFT CORNELIUS (MD) shows a connection to Houston, Texas in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

Unknown Individual

Orthopaedic Foot and Ankle Surgery Physician
Texas Orthopedic Hospital, 7401, South Main Street, Houston, Harris County, Texas, 77030, United States
NPI: 1285622795

DR. JAY C OATES

Orthopaedic Foot and Ankle Surgery Physician
Main Street, Gordon, Houston County, Alabama, United States
NPI: 1528056959

DR. DAVID P LONCARICH

Orthopaedic Foot and Ankle Surgery Physician
Main Street, Gordon, Houston County, Alabama, United States
NPI: 1003804428

TRAVIS W HANSON (MD)

Orthopaedic Surgery Physician
SH, Lee Road, Houston, Harris County, Texas, 77338, United States
NPI: 1780666024

RICHARD LEIGH BEAVER (M.D.)

Orthopaedic Foot and Ankle Surgery Physician
15035 Southwest Fwy
NPI: 1528037512

Advanced Orthopaedics and Sports Medicine

Sports Medicine (Orthopaedic Surgery) Physician
Lake Houston Church of the Nazarene, FM 1960, Kingwood Glen, Atascocita, Harris County, Texas, 77346, United States
NPI: 1972556660

DR. STACY ANNE BACON (M.D.)

Orthopaedic Foot and Ankle Surgery Physician
11800 Fm 1960 Rd W
NPI: 1013962810

WILLIAM MALCOLM GRANBERRY (M.D.)

Orthopaedic Foot and Ankle Surgery Physician
6624 Fannin St
NPI: 1134162605