Individual provider Active NPI

Emmett T Cunningham Jr., M.D.,PHD,MPH

  • Retina Specialist (Ophthalmology) Physician
  • San Francisco, CA
National Provider Identifier
1083706261
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
A051186 Issued in CA
Practice address
1445 Bush St
San Francisco, CA 94109-5520
Phone
(415) 972-4600
Fax
(415) 975-0999
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A051186 CA
Retina Specialist (Ophthalmology) Physician 207WX0107X A051186 CA Primary

Addresses

Primary practice location

1445 Bush St
San Francisco, CA 94109-5520

Mailing address

1445 Bush St
San Francisco, CA 94109-5520
Phone (415) 972-4600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ecunningham@westcoastretina.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070313000300 CA Practitioner - Ophthalmology 2961449533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Johns Hopkins University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Retina Medical Group IncGroup PAC ID 6608860713, 8 clinicians

Practice addresses (Care Compare)

1445 Bush St
San Francisco, CA 94109-5520
Phone (415) 972-4600

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
221546NYMDRegistered Nurse
A051186CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Retina Medical Group, Inc. Specialist CurrentSince Nov 1, 2006 Accepting new patients
Vitreous Retina Macula Consultants of New York Ophthalmology PastSince May 1, 1990 Accepting new patients
Manhattan Eye Ear and Throat Hospital Past Accepting new patients

Locations

400 30th St
Ste 402
Oakland, CA 94609
Phone (415) 972-4600

1445 Bush St
San Francisco, CA 94109
Phone (415) 972-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1083706261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 BUSH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095520",
            "telephone_number": "415-972-4600",
            "fax_number": "415-975-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "EMMETT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.,PHD,MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A051186",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "CA",
            "license": "A051186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecunningham@westcoastretina.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1445 Bush St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941095520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.