Paul Shannon Cunningham, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D0044573 Issued in MD

Practice address

9131 Piscataway Rd Ste 150
Clinton, MD 20735-2510

Phone

(301) 868-8300

Fax

(301) 868-7250

NPI assigned

Nov 28, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Ophthalmology

Education

University of Virginia School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul Shannon CunninghamGroup PAC ID 2264466143, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Paul Shannon Cunningham

  • Ophthalmology Physician
  • Clinton, MD
  • NPI 1609942945

  DC

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1093881344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD",
            "address_2": "#150",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352510",
            "telephone_number": "301-868-8300",
            "fax_number": "301-868-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 PISCATAWAY RD STE 150",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352510",
            "telephone_number": "301-868-8300",
            "fax_number": "301-868-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "PAUL",
        "middle_name": "SHANNON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0044573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "180043653",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "G02102P01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• CTB Behavioral Health Services
• Culture Chiropractic and Family Wellness Centers P C
• Sharon L Cummings, CAMS-I
• Tamara Cunningham-Myers
• Dennis Cunningham, LCPC
• CVS
• CW Health Care Services LLC
• Adele Damlamian, M.D.
• Keri Jean Daniel, NP
• Herman Daniels, MD

• Ophthalmology Physician in Clinton, MD
• Providers in Clinton, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.