Organization provider

KANNON HEALTH LLC

Public Health & General Preventive Medicine Physician Geriatric Medicine (Family Medicine) Physician General Practice Physician Medicare enrolled

KANNON HEALTH LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1912789595, based in Lakeway, TX. The organization lists 3 taxonomy classifications, with Public Health & General Preventive Medicine Physician recorded as primary.

Getting there

The practice address on file is 1010 RANCH ROAD 620 S STE 206, Lakeway, TX 78734. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1010 RANCH ROAD 620 S STE 206, Lakeway, TX 78734 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
7113376443
Enrollment ID
O20231212004003

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Public Health & General Preventive Medicine covers

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. NUCC Health Care Provider Taxonomy, code 2083P0901X
Allopathic & Osteopathic Physicians Preventive Medicine Public Health & General Preventive Medicine

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2083P0901X Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine primary
207QG0300X Geriatric Medicine (Family Medicine) Physician Geriatric Medicine
208D00000X General Practice Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1912789595 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 18, 2023
Last updatedMar 16, 2026
StatusActive
Practice address 1010 RANCH ROAD 620 S STE 206
Lakeway, TX 78734
(512) 623-2050
Mailing address 12600 HILL COUNTRY BLVD STE R-130
Bee Cave, TX 78738
This record was updated on Mar 16, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1912789595 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 1 2 7 8 9 5 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 2 2 5 8 9 5 9

Sum = 75 · next multiple of 10 = 80 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1912789595?
NPI 1912789595 is the National Provider Identifier assigned to KANNON HEALTH LLC in Lakeway, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Public Health & General Preventive Medicine cover?
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a…
How do I contact KANNON HEALTH LLC?
The phone number on file with NPPES is (512) 623-2050, last updated Mar 16, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does KANNON HEALTH LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1912789595 a valid number?
Yes. 1912789595 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.