Individual provider Active NPI

Robert M Cunningham, MB CHB MPH FACS

  • Surgery Physician
  • Council Bluffs, IA
National Provider Identifier
1104268838
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-52296 Issued in IA
Practice address
201 Ridge St Ste 214
Council Bluffs, IA 51503-4643
Phone
(712) 396-4320
Fax
(712) 396-4328
NPI assigned
Jul 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-52296 IA Primary

Addresses

Primary practice location

201 Ridge St Ste 214
Council Bluffs, IA 51503-4643

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2200

Other practice location 1

2730 Pierce St Ste 300A
Sioux City, IA 51104-3796
Phone (712) 234-8725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240203000079 IA Practitioner - General Surgery 1254569247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

201 Ridge St
Suite 214
Council Bluffs, IA 51503-4643
Phone (712) 396-4320

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux14
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7412NEMDOrthodontics and Dentofacial Orthopedic Dentist
MD-52296IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Feb 12, 2024 Accepting new patients
Council Bluffs Surgical Associates, P.C. CurrentSince Jun 30, 2025 Accepting new patients
Physicians Clinic Inc Surgery CurrentSince Jun 30, 2025 Accepting new patients
Midwest Anesthesia Associates, PA Past Accepting new patients
St Lukes Health Resources PastSince Feb 12, 2024 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1 Edmundson Pl
Ste 310
Council Bluffs, IA 51503
Phone (712) 328-1801

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

201 Ridge St
Ste 214
Council Bluffs, IA 51503
Phone (712) 328-2616

2730 Pierce St
Ste 300A
Sioux City, IA 51104
Phone (712) 234-8725

2730 Pierce St
Ste 402
Sioux City, IA 51104
Phone (712) 234-8725

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0b85a188-4e79-4276-b029-bbb0ec6e4802/

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1104268838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2200",
            "fax_number": "402-354-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 RIDGE ST STE 214",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034643",
            "telephone_number": "712-396-4320",
            "fax_number": "712-396-4328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 Pierce St Ste 300A",
            "address_purpose": "LOCATION",
            "city": "Sioux City",
            "state": "IA",
            "postal_code": "511043796",
            "country_code": "US",
            "telephone_number": "712-234-8725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MB CHB MPH FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-52296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.