Leslie Doyle Cunningham, M.D., PH.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

D0062109 Issued in MD

Practice address

32 Central Ave
Hauppauge, NY 11788

Phone

(631) 582-9729

Fax

(631) 582-9731

NPI assigned

Oct 6, 2006

Last updated

May 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Vascular Surgery

Education

Boston University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Vein Restoration Mi PLLCGroup PAC ID 5092998294, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: leslie.cunningham.p182@direct.aac.nextgenshare.com
• Direct secure messaging: leslie.cunningham.p30@direct.aac.nextgenshare.com
• Direct secure messaging: leslie.cunningham.p33@direct.aac.nextgenshare.com
• Direct secure messaging: leslie.cunninghammd.p3@direct.cvr.nextgenshare.com
• Direct secure messaging: leslie.cunninghammd.p5@direct.cvr.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Center for Vein Restoration Mi PLLC

  • Surgery Physician
  • Portage, MI
  • NPI 1720388267
  Medicare reassignment Care Compare group NPD
• VR Physician for Vein Restoration

  • Vascular Surgery Physician
  • Scarsdale, NY
  • NPI 1700122728
  Medicare reassignment NPD
• VR Physician for Vein Restoration

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bronx, NY
  • NPI 1063373009
  NPD
• Center for Vein Restoration Mi PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Midland, MI
  • NPI 1225906274
  NPD
• Center for Vein Restoration CT LLC

  • Vascular Surgery Physician
  • Stamford, CT
  • NPI 1306282926
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1033206305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416173",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416173",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CENTRAL AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-582-9729",
            "fax_number": "631-582-9731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Mineola Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014064",
            "country_code": "US",
            "telephone_number": "516-663-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Mineola Blvd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014064",
            "country_code": "US",
            "telephone_number": "516-663-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LESLIE",
        "middle_name": "DOYLE",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0062109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03276419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vascular Surgery Physician in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.